Provider Demographics
NPI:1740418219
Name:SENSITIVE CARE COSMETIC & FAMILY DENTISTRY LLC
Entity Type:Organization
Organization Name:SENSITIVE CARE COSMETIC & FAMILY DENTISTRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:I
Authorized Official - Last Name:QUINTNER
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-878-6699
Mailing Address - Street 1:55 OLD GATE LN
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3652
Mailing Address - Country:US
Mailing Address - Phone:203-878-6699
Mailing Address - Fax:203-878-0061
Practice Address - Street 1:55 OLD GATE LN
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3652
Practice Address - Country:US
Practice Address - Phone:203-878-6699
Practice Address - Fax:203-878-0061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-23
Last Update Date:2009-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty