# HOSPITAL DENTAL GROUP DDS PC

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

## Provider details

- **NPI number:** 1417389636
- **Authorized official:** DR. ANATOLIY RAVIN DDS (OWNER)
- **Authorized official phone:** (860) 524-5194

## Contact information

- **Practice address:** 85 SEYMOUR ST, SUITE 922, HARTFORD, CT 06106-5501
- **Practice address phone:** (860) 524-5194
- **Practice address fax:** (860) 349-4571
- **Mailing address:** 85 SEYMOUR ST, SUITE 922, HARTFORD, CT 06106-5501
- **Mailing address phone:** (860) 524-5194
- **Mailing address fax:** (860) 349-4571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320700000X | Physical Disabilities Residential Treatment Facility | 008890 | CT | Yes |

## Other

- **Enumeration date:** 07/31/2013
- **Last updated:** 07/31/2013