Liel Ben Naim, DDS
Individual provider Active NPI Dentist · Hartford, CT
NPI 1619783446 · NPPES record last updated Dec 8, 2024
Key facts
- NPI
- 1619783446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 14263 (CT)
- Practice address
- 550 Farmington Ave Ste B
Hartford, CT 06105-3041 - Phone
- (860) 956-5555
- NPI assigned
- Dec 6, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14263 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14263 | CT | Yes |
Addresses
Primary practice location
550 Farmington Ave Ste B
Hartford, CT 06105-3041
Mailing address
550 Farmington Ave Ste B
Hartford, CT 06105-3041
Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.