Anjali Banerjee DMD PLLC

Organization Active NPI General Practice Dentistry · Meriden, CT

NPI 1619791001 · NPPES record last updated Nov 12, 2024

Key facts

NPI
1619791001
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ANJALI BANERJEE DMD PLLC
Practice address
490 S Broad St
Ste 19
Meriden, CT 06450
Phone
(203) 237-1000
NPI assigned
Nov 12, 2024
Organization subpart
No

Authorized official

Name
Kia Williams
Title
Provider Enrollment Team Lead
Phone
(315) 454-6000

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

490 S Broad St
Ste 19
Meriden, CT 06450
Phone (203) 237-1000

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

490 S Broad St
Ste 19
Meriden, CT 06450

Mailing address

PO Box 70887
Cleveland, OH 44190-0887

Other providers in Meriden, CT

All providers in Meriden, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.