Sejal Thacker
Periodontist
82 Spring Lane
West Hartford
, Connecticut 06107
Sejal Thacker
Periodontist
82 Spring Lane
West Hartford
, Connecticut 06107
(860) 206-1205
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Sejal Thacker
- 82 Spring Lane
- West Hartford, CT
- Zip : 06107
- Phone : (860) 206-1205
Second Address
- Sejal Thacker
- 82 Spring Lane
- West Hartford, CT
- Zip : 06107
- Phone : (860) 206-1205
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 010707 | CT |
National Provider Identifier
| NPI | 1003045675 |
|---|---|
| Provider Name | Sejal Thacker |
| First Address | West Hartford, CT 06107 |
| Second Address | West Hartford, CT 06107 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/07/2009 |
| Last Update Date | 05/01/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.