OrganizationActive
Esthetic Dental Group LLC
NPI 1619375813 · General Practice Dentistry · Suffield, CT
Provider details
- NPI number
- 1619375813
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sachin Virmani, Member of LLC(860) 956-5311
- License
- 010564 (CT)
Specialties & taxonomies
Dental Providers
Practice location
24 Lise Cir
Suffield, CT 06078-1381
Phone: (860) 956-5311
Approximate (ZIP-level) locationGet directions
Mailing address
550 Farmington Ave
Hartford, CT 06105-3040
Registry dates
- Enumerated
- 2014-12-21
- Last updated
- 2014-12-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.