| Blackwell Dental Pllc | |
|
387 Main St S Woodbury CT 06798-3412 | |
| (757) 581-9965 | |
| Not Available |
| Full Name | Blackwell Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 387 Main St S, Woodbury, Connecticut |
| Authorized Official Name and Position | Andrew Nicholas Blackwell (OWNER/MANAGER/GENERAL DENTIST) |
| Authorized Official Contact | 7575819965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackwell Dental Pllc 100 Pleasant Dr Southbury CT 06488-3231 Ph: (757) 581-9965 | Blackwell Dental Pllc 387 Main St S Woodbury CT 06798-3412 Ph: (757) 581-9965 |
| NPI Number | 1720585680 |
|---|---|
| Provider Enumeration Date | 04/09/2018 |
| Last Update Date | 12/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720585680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 11-610 (Connecticut) | Primary |
Kelly Palchik Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 84 Main St S, Woodbury, CT 06798 Phone: 203-263-2853 Fax: 203-263-2859 | |
Family & Preventive Dentistry, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 357 Main St S, Woodbury, CT 06798 Phone: 203-263-5575 | |
Lance E. Banwell,dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 387 Main St S, Woodbury, CT 06798 Phone: 203-263-5300 Fax: 203-263-4327 | |
James S Bauer Dmd Incorporated Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Main St N Ste E, Woodbury, CT 06798 Phone: 203-263-4402 Fax: 203-263-6211 |