Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Blue Back Dental LLC

Organization General Practice Dentistry · NPI 1174814495

Blue Back Dental LLC is a General Practice Dentistry in West Hartford, Connecticut. Licensed in Connecticut. Registered with an NPI since 2011.

Licensed in
CT
In the registry since
2011
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

65 Memorial Rd Ste 400
West Hartford, CT 06107-4219
Phone: (860) 233-9300
Fax: (860) 233-9304
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 5904 (CT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 8915 (CT)
Periodontics Taxonomy 1223P0300X · Licence 5407 (CT)

Record details

NPI number1174814495
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirsten Capozzi — Practice Manager · (860) 233-9300
NPI enumeratedApril 20, 2011
Last updated in NPPESApril 20, 2011
Mailing address65 Memorial Rd Ste 400, West Hartford, CT 06107-4219

Other providers in West Hartford