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NPI Code Detail

MEDICARE: KAINAT ALTAF DMD

MEDICARE: KAINAT ALTAF 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
1390200000XStudent in an Organized Health Care Education/Training Program84822CT

General Provider Information

NPI Number : 1821931742
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAINAT ALTAF DMD
Provider Business Mailing Address
First Line : 727 PROSPECT AVE
Second Line :
City : WEST HARTFORD
State : CT
Zip : 06105-4231
Country : US
Telephone Number : 603-322-8278
Fax Number :
Provider Business Practice Location Address
First Line : 263 FARMINGTON AVE
Second Line :
City : FARMINGTON
State : CT
Zip : 06030-0001
Country : US
Telephone Number : 860-679-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 05/19/2026

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Directions to “ KAINAT ALTAF DMD” Practice Location

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