Provider Demographics
NPI:1891352522
Name:DRS. HADDEN AND WHIDDEN LLC
Entity Type:Organization
Organization Name:DRS. HADDEN AND WHIDDEN LLC
Other - Org Name:CT SLEEP AND AIRWAY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:WHIDDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:860-875-2881
Mailing Address - Street 1:219 TALCOTTVILLE RD STE 3
Mailing Address - Street 2:
Mailing Address - City:VERNON
Mailing Address - State:CT
Mailing Address - Zip Code:06066-4637
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:219 TALCOTTVILLE RD
Practice Address - Street 2:
Practice Address - City:VERNON
Practice Address - State:CT
Practice Address - Zip Code:06066-4637
Practice Address - Country:US
Practice Address - Phone:860-872-2004
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DRS. HADDEN & WHIDDEN LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-05-29
Last Update Date:2019-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty