| Ace Dental Group Llc | |
|
571 Wolcott St Waterbury CT 06705-1310 | |
| (954) 798-0320 | |
| Not Available |
| Full Name | Ace Dental Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 571 Wolcott St, Waterbury, Connecticut |
| Authorized Official Name and Position | Kanwarpal Singh (SOLE OWNER) |
| Authorized Official Contact | 9547980320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ace Dental Group Llc 571 Wolcott St Waterbury CT 06705-1310 Ph: () - | Ace Dental Group Llc 571 Wolcott St Waterbury CT 06705-1310 Ph: (954) 798-0320 |
| NPI Number | 1710417720 |
|---|---|
| Provider Enumeration Date | 06/13/2017 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 9537506456 |
|---|---|
| Medicare Enrollment ID | O20240327000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710417720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Kanwarpal Singh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083927214 PECOS PAC ID: 1355788274 Enrollment ID: I20240327000537 |
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