1. Home
  2. Directory
  3. Connecticut
  4. Manchester
  5. Dentist
  6. NPI Profile

PRISTINE SMILE DENTAL PLLC
NPI 1316692106
Dentist - General Practice in Manchester, CT

Active since February 20, 2022
599 MAIN ST STE 4, MANCHESTER, CT 06040(860) 647-1565(860) 643-2796 Get Directions Write a Review

NPPES record last updated: February 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pristine Smile Dental Pllc NPPES

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

PRISTINE SMILE DENTAL PLLC (NPI 1316692106) is a healthcare organization registered as a general practice in Manchester, Connecticut and active in the NPI registry since February 2022. The organization lists Jason Lee Hernandez, Dentist Owner, as its authorized official.

NPPES Registry Identity

NPI1316692106
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRISTINE SMILE DENTAL PLLC
Location Address599 MAIN ST STE 4Manchester, CT 06040-5156
Mailing Address599 Main St Ste 4Manchester, CT 06040-5156 · (860) 647-1565
Phone(860) 647-1565
Fax(860) 643-2796
Organization SubpartNo
Authorized OfficialJason Lee HernandezDentist Owner · (860) 990-1792
Enumeration DateFebruary 20, 2022
NPPES CertifiedFebruary 20, 2022
✔ NPI 1316692106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
599 MAIN ST STE 4, Manchester, CT 06040
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 SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pristine Smile Dental PLLC's NPI number?

The NPI number for Pristine Smile Dental PLLC is 1316692106. It was assigned to this organization in the NPPES registry on February 20, 2022.

Where is Pristine Smile Dental PLLC located?

Pristine Smile Dental PLLC is located at 599 Main St Ste 4, Manchester, CT 06040. The listed phone number is (860) 647-1565.

What is Pristine Smile Dental PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Pristine Smile Dental PLLC accept?

Health plans from UnitedHealthcare list Pristine Smile Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pristine Smile Dental PLLC was last updated on February 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.