Provider Demographics
NPI:1558783993
Name:THE DENTAL CENTER LLC
Entity Type:Organization
Organization Name:THE DENTAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HONOR
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-604-8614
Mailing Address - Street 1:42 WINTONBURY MALL
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-2412
Mailing Address - Country:US
Mailing Address - Phone:860-242-1230
Mailing Address - Fax:
Practice Address - Street 1:42 WINTONBURY MALL
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-2412
Practice Address - Country:US
Practice Address - Phone:860-242-1230
Practice Address - Fax:860-242-8477
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE DENTAL CENTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-01-18
Last Update Date:2014-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7431122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty