PREMIER DENTAL P C
NPI 1710394903
Durable Medical Equipment & Medical Supplies - Customized Equipment in Meriden, CT

NPI Status: Active since July 19, 2014

Contact Information

727 BROAD ST
MERIDEN, CT
ZIP 06450
Phone: (203) 235-1415

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment

About PREMIER DENTAL P C

This page provides the complete NPI Profile along with additional information for Premier Dental P C, a provider established in Meriden, Connecticut operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1710394903 assigned on July 2014. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Premier Dental P C operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Polina P Simanovich (Dentist/prosthodontist)

NPI
1710394903
Provider Name
PREMIER DENTAL P C
Entity Type
Organization
Location Address
727 BROAD ST MERIDEN, CT 06450
Location Phone
(203) 235-1415
Mailing Address
727 BROAD ST MERIDEN, CT 06450
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-19-2014
Last Update Date
05-03-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223P0700XDental Providers

Dentist
Prosthodontics

10452 (CT)
2332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

POLINA P SIMANOVICH

Authorized Official Title
DENTIST/PROSTHODONTIST
Authorized Official Phone
(203) 235-1415

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7807300001OTHER (01)CTPTAN MEDICARE NSC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1710394903
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
272069890
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 9 + 8 + 9 + 0 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1710394903 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447294087DR. JAMES CLARKE DDS
Individual
Dentist (General Practice)727 BROAD ST
MERIDEN, CT 06450
(203) 235-1415
1770743171DR. POLINA P SIMANOVICH DMD
Individual
Dentist (Prosthodontics)727 BROAD ST
MERIDEN, CT 06450
(203) 235-1415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710394903, enumerated in the NPI registry as an "organization" on July 19, 2014

The provider is located at 727 Broad St Meriden, Ct 06450 and the phone number is (203) 235-1415

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X with a focus in Customized Equipment

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 19, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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