| Aspen Dental | |
|
193 River Rd Ste 230 Lisbon CT 06351-3258 | |
| (860) 376-8800 | |
| Not Available |
| Full Name | Aspen Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 193 River Rd Ste 230, Lisbon, Connecticut |
| Authorized Official Name and Position | Cathy Cluett (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Dental Po Box 3189 Syracuse NY 13220-3189 Ph: () - | Aspen Dental 193 River Rd Ste 230 Lisbon CT 06351-3258 Ph: (860) 376-8800 |
| NPI Number | 1912350299 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 07/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912350299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Myhanh Vu Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 193 River Rd, Lisbon, CT 06351 Phone: 860-376-8800 |