Healthcare Provider Details

I. General information

NPI: 1386555985
Provider Name (Legal Business Name): PREMIER HEARING AND TINNITUS CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WELLES ST STE 5
GLASTONBURY CT
06033-4232
US

IV. Provider business mailing address

30 WELLES ST STE 5
GLASTONBURY CT
06033-4232
US

V. Phone/Fax

Practice location:
  • Phone: 860-534-1801
  • Fax:
Mailing address:
  • Phone: 860-534-1801
  • Fax: 860-781-8200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: VOLLINGER VOLLINGER
Title or Position: OWNER/AUDIOLOGIST
Credential: AUD
Phone: 860-534-1801