BRASS MILL MALL DENTAL L.L.P
NPI 1629263850
Dentist - General Practice in Waterbury, CT

Active since September 11, 2007
495 UNION ST, STUITE 1016, WATERBURY, CT 06706(203) 574-2121 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brass Mill Mall Dental L.l.p NPPES

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

BRASS MILL MALL DENTAL L.L.P (NPI 1629263850) is a healthcare organization registered as a general practice in Waterbury, Connecticut and active in the NPI registry since September 2007. The organization lists Ross Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1629263850
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBRASS MILL MALL DENTAL L.L.P
Location Address495 UNION ST, STUITE 1016Waterbury, CT 06706-1292
Mailing Address495 Union St, Stuite 1016Waterbury, CT 06706-1292 · (203) 574-2121
Organization SubpartNo
Authorized OfficialRoss KrasnovOwner · (860) 676-2828
Enumeration DateSeptember 11, 2007
Last NPPES UpdateMarch 18, 2015
NPI 1629263850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CT · 008698
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.
495 UNION ST, Waterbury, CT 06706

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

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 Brass Mill Mall Dental L.L.P's NPI number?

The NPI number for Brass Mill Mall Dental L.L.P is 1629263850. It was assigned to this organization in the NPPES registry on September 11, 2007.

Where is Brass Mill Mall Dental L.L.P located?

Brass Mill Mall Dental L.L.P is located at 495 Union St Stuite 1016, Waterbury, CT 06706. The listed phone number is (203) 574-2121.

What is Brass Mill Mall Dental L.L.P's specialty?

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

When was this NPI record last updated?

The NPPES record for Brass Mill Mall Dental L.L.P was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.