Organization · Type 2 NPI
Blue Back Dental LLC
General Practice Dentistry · West Hartford, CT
NPI number
1174814495
Active
Practice location
65 Memorial Rd Ste 400
West Hartford, CT 06107-4219
Fax (860) 233-9304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 5904 (CT) |
| General Practice Dentistry | 1223G0001X | 8915 (CT) |
| Periodontics | 1223P0300X | 5407 (CT) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1174814495
Blue Back Dental LLC's National Provider Identifier is 1174814495, issued on Apr 20, 2011. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in West Hartford, CT. The record was last updated on Apr 20, 2011.