Provider Demographics
NPI:1740907419
Name:QUINNIPIAC ENDODONTICS - NEW BRITAIN PLLC
Entity type:Organization
Organization Name:QUINNIPIAC ENDODONTICS - NEW BRITAIN PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENDODONTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAWAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS , MDS
Authorized Official - Phone:860-681-5522
Mailing Address - Street 1:35 PEARL ST STE 201
Mailing Address - Street 2:
Mailing Address - City:NEW BRITAIN
Mailing Address - State:CT
Mailing Address - Zip Code:06051-2645
Mailing Address - Country:US
Mailing Address - Phone:860-681-5522
Mailing Address - Fax:
Practice Address - Street 1:35 PEARL ST STE 201
Practice Address - Street 2:
Practice Address - City:NEW BRITAIN
Practice Address - State:CT
Practice Address - Zip Code:06051-2645
Practice Address - Country:US
Practice Address - Phone:860-225-5555
Practice Address - Fax:860-827-9124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty