NPI 1174166631

Advance Dental Clinic PC

Organisation General Practice Dentistry East Hartford, CT

Practice location

Address: 477 Connecticut Blvd, East Hartford, CT 06108-3268
Phone: (860) 289-4080

Authorised official

Name: Nayaki Gaddipati
Title: Owner
Phone: (214) 336-9767

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

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Registry record

NPI: 1174166631
Entity type: Organization
NPI issued: 28 Oct 2019
Record last updated: 28 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.