| Southern Connecticut Dental Group - Southbury | |
|
30 Quaker Farms Rd Southbury CT 06488-2732 | |
| (203) 264-4351 | |
| (203) 736-9443 |
| Full Name | Southern Connecticut Dental Group - Southbury |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 30 Quaker Farms Rd, Southbury, Connecticut |
| Authorized Official Name and Position | Michael A. Scialabba (CHIEF CLINICAL OFFICER) |
| Authorized Official Contact | 5615122709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Connecticut Dental Group - Southbury 200 5th Ave Fl 3 Waltham MA 02451-8759 Ph: (781) 647-0772 | Southern Connecticut Dental Group - Southbury 30 Quaker Farms Rd Southbury CT 06488-2732 Ph: (203) 264-4351 |
| NPI Number | 1326692385 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 06/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326692385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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