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NPI Code Detail

MEDICARE: DR. HSUNG LIN DMD

MEDICARE: DR. HSUNG LIN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist009904CT
21223G0001XGeneral Practice Dentistry009904CT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730347550
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HSUNG LIN DMD
Provider Business Mailing Address
First Line : 263 FARMINGTON AVE
Second Line : DENTAL ACADEMIC AFFAIRS
City : FARMINGTON
State : CT
Zip : 06030-3905
Country : US
Telephone Number : 860-679-2207
Fax Number : 860-679-1899
Provider Business Practice Location Address
First Line : 1 ROYCE CIR
Second Line : SUITE 108
City : STORRS
State : CT
Zip : 06268-2260
Country : US
Telephone Number : 860-487-9330
Fax Number : 860-487-9360
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2008
Last Update Date : 05/10/2021

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