Provider Demographics
NPI:1790397776
Name:BEST WAY DENTAL SERVICES, LLC
Entity Type:Organization
Organization Name:BEST WAY DENTAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:SUAZO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-456-1333
Mailing Address - Street 1:886 MAIN ST STE B
Mailing Address - Street 2:
Mailing Address - City:WILLIMANTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06226-2340
Mailing Address - Country:US
Mailing Address - Phone:860-456-1333
Mailing Address - Fax:860-450-1297
Practice Address - Street 1:886 MAIN ST STE B
Practice Address - Street 2:
Practice Address - City:WILLIMANTIC
Practice Address - State:CT
Practice Address - Zip Code:06226-2340
Practice Address - Country:US
Practice Address - Phone:860-456-1333
Practice Address - Fax:860-450-1297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental