Organization
UNIVERSITY DENTISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIE ATKINS (DELEGATED OFFICIAL)
(860) 679-2207
Entity
Organization
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-0001
(860) 679-3333
(860) 679-4334
Mailing address
263 FARMINGTON AVE, ATTN: ELLIE ATKINS, FARMINGTON, CT 06030-3905
(860) 679-2207
(860) 679-1363
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
004713
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4011649
—
CT
Enumeration date
11/25/2005
Last updated
05/08/2026
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