Healthcare Provider Details

I. General information

NPI: 1881510733
Provider Name (Legal Business Name): ELITE ENDO CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

576 FARMINGTON AVE
HARTFORD CT
06105-3015
US

IV. Provider business mailing address

71 CHURCHILL WAY
NEWINGTON CT
06111-4014
US

V. Phone/Fax

Practice location:
  • Phone: 860-899-6461
  • Fax:
Mailing address:
  • Phone: 860-899-6461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: LAURENCE DANZIGER
Title or Position: OWNER
Credential: MD
Phone: 914-645-8288