OrganizationActive
Bolton Lake Dental LLC
NPI 1194357418 · Dental Clinic/Center · Bolton, CT
Bolton Lake Dental LLC is a Dental Clinic/Center organization in Bolton, CT (NPI 1194357418).
Provider details
- NPI number
- 1194357418
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cristina Ilies, Owner(860) 646-3003
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1120 Boston Tpke
Bolton, CT 06043-7439
Phone: (860) 646-3003
Street-level locationGet directions
Mailing address
1120 Boston Tpke
Bolton, CT 06043-7439
Registry dates
- Enumerated
- 2020-02-05
- Last updated
- 2020-02-05
- Certified
- 2020-02-05
Frequently asked questions
- What is Bolton Lake Dental LLC's NPI number?
- Bolton Lake Dental LLC's National Provider Identifier (NPI) is 1194357418, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bolton Lake Dental LLC?
- Bolton Lake Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bolton Lake Dental LLC located?
- Bolton Lake Dental LLC's practice location on file with NPPES is 1120 Boston Tpke, Bolton, CT 06043-7439.
- What is Bolton Lake Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Bolton Lake Dental LLC is (860) 646-3003.
- Who is the authorized official for Bolton Lake Dental LLC?
- The authorized official listed on Bolton Lake Dental LLC's NPPES record is Cristina Ilies, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bolton Lake Dental LLC's NPI active?
- Yes — Bolton Lake Dental LLC's NPI (1194357418) is active in the NPPES registry as of the last update on 2020-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.