KOMAROW DENTAL PC – NPI #1851807218
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

KOMAROW DENTAL PC is an AHC clinic located in AVON, CT. NPPES has assigned the NPI number 1851807218 to KOMAROW DENTAL PC on December 21, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KOMAROW DENTAL PC below.

NPI Profile for
KOMAROW DENTAL PC

NPI Number
1851807218
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KOMAROW DENTAL PC
Primary location
40 DALE RD
AVON, CT 06001-3692
Phone: (860) 677-2171 Fax: (860) 677-2171
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BRUCE KOMAROW
OWNER
Phone: (860) 677-2171
Updated
Identifiers

Identifiers for KOMAROW DENTAL PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERIRSCT1932311453
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)		 CT 6508

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.