| Bloomfield Family Dental Pc | |
|
2 Wintonbury Mall #5 Bloomfield CT 06002-2466 | |
| (860) 656-6941 | |
| (860) 656-6107 |
| Full Name | Bloomfield Family Dental Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2 Wintonbury Mall, Bloomfield, Connecticut |
| Authorized Official Name and Position | Shari Mathew (GENERAL DENTIST) |
| Authorized Official Contact | 8606566941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomfield Family Dental Pc 2 Wintonbury Mall #5 Bloomfield CT 06002-2466 Ph: (860) 656-6941 | Bloomfield Family Dental Pc 2 Wintonbury Mall #5 Bloomfield CT 06002-2466 Ph: (860) 656-6941 |
| NPI Number | 1104162890 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 03/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104162890 | NPI | - | NPPES |
| 1962684415 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 009298 (Connecticut) | Primary |
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