DENTAL GROUP OF MERIDEN-WALLINGFORD - NPI 1235369794

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

On this page

About Dental Group Of Meriden-wallingford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENTAL GROUP OF MERIDEN-WALLINGFORD (NPI 1235369794) is a healthcare organization registered as a pediatric dentistry in Meriden, Connecticut and active in the NPI registry since July 2009. The organization lists Sunita Kalluri, President/owner, as its authorized official.

NPPES Registry Identity

NPI1235369794

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameDENTAL GROUP OF MERIDEN-WALLINGFORD

Location Address298 BROAD STMeriden, CT 06450-5853

Mailing Address298 Broad StMeriden, CT 06450-5853 · (203) 235-5588 · Fax (203) 630-3021

Phone(203) 235-5588

Fax(203) 630-3021

Organization SubpartNo

Authorized OfficialSunita KalluriPresident/owner · (203) 235-5588

Enumeration DateJuly 19, 2009

Last NPPES UpdateJanuary 18, 2013

✔ NPI 1235369794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in CT · 7806

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 4108 (CT)

298 BROAD ST, Meriden, CT 06450

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELLEN F DRAZNER DMD

Dentist (Pediatric Dentistry)