# YALE-NEW HAVEN HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114312469
- **Authorized official:** MR. RICHARD D'AQUILLA (PRESIDENT)
- **Authorized official phone:** (203) 688-2606

## Contact information

- **Practice address:** 789 HOWARD AVE, DANA 2, NEW HAVEN, CT 06519-1304
- **Practice address phone:** (203) 688-2464
- **Practice address fax:** (203) 688-1426
- **Mailing address:** 20 YORK STREET - DENTAL, NEW HAVEN, CT 06510-3020
- **Mailing address phone:** (203) 688-1288
- **Mailing address fax:** (203) 688-4461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0044 | CT | Yes |
| 1223P0106X | Oral and Maxillofacial Pathology Dentistry | 0044 | CT | — |
| 261QD0000X | Dental Clinic/Center | 0044 | CT | — |

## Other

- **Enumeration date:** 04/03/2015
- **Last updated:** 05/19/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004011318 | — | CT |