| Groton Dental Group | |
|
1100 Poquonnock Rd Groton CT 06340-4209 | |
| (860) 445-9765 | |
| Not Available |
| Full Name | Groton Dental Group |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1100 Poquonnock Rd, Groton, Connecticut |
| Authorized Official Name and Position | Michael Angelo Scialabba (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5615122709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groton Dental Group 200 5th Ave Fl 3 Waltham MA 02451-8759 Ph: (781) 647-0772 | Groton Dental Group 1100 Poquonnock Rd Groton CT 06340-4209 Ph: (860) 445-9765 |
| NPI Number | 1033708656 |
|---|---|
| Provider Enumeration Date | 01/18/2021 |
| Last Update Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033708656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
John M Johnson Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 643 Gold Star Hwy, Groton, CT 06340 Phone: 860-445-8569 Fax: 860-446-8434 | |
Groton Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Poquonnock Rd, Groton, CT 06340 Phone: 860-445-9765 Fax: 860-445-2757 | |
Tercel Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 643 Gold Star Hwy., Groton, CT 06340 Phone: 860-445-8569 Fax: 860-446-8434 | |
Goldstar Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 489 Gold Star Hwy Ste 201, Groton, CT 06340 Phone: 860-326-5313 | |
Bridgeworks Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 115 Bridge St, Groton, CT 06340 Phone: 860-446-8744 Fax: 860-448-3780 |