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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLUE BACK DENTAL LLC

Active Organization

BLUE BACK DENTAL LLC is a General Dentistry organization located in WEST HARTFORD, Connecticut. NPI 1174814495 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · WEST HARTFORD, CT

Registration Details

NPI Number
1174814495
Provider Type
Organization
NPI Issued
Apr 20, 2011 (15.331269887678 yrs)
Last Updated
Apr 20, 2011
Licenses
8915 (CT)
5407 (CT)
5904 (CT)

Practice Information

Address
65 MEMORIAL RD STE 400
WEST HARTFORD, CT, 061074219
Browse CT providers · Browse ZIP 06107
Phone
8602339300
Fax
8602339304
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
Periodontology
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.