Provider Demographics
NPI:1013068832
Name:NEW BRITAIN DENTAL ARTS LLC
Entity type:Organization
Organization Name:NEW BRITAIN DENTAL ARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED MEMBER LLC
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:H
Authorized Official - Last Name:KANIA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:860-229-8689
Mailing Address - Street 1:35 PEARL ST
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051
Mailing Address - Country:US
Mailing Address - Phone:860-229-8689
Mailing Address - Fax:860-224-7734
Practice Address - Street 1:35 PEARL ST
Practice Address - Street 2:SUITE 2D
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051
Practice Address - Country:US
Practice Address - Phone:860-229-8689
Practice Address - Fax:860-224-7734
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty