| Bridgeworks Llc | |
|
115 Bridge St Groton CT 06340 | |
| (860) 446-8744 | |
| (860) 448-3780 |
| Full Name | Bridgeworks Llc |
|---|---|
| Speciality | Dentist |
| Location | 115 Bridge St, Groton, Connecticut |
| Authorized Official Name and Position | Theologos Ted Malahias (DENTIST) |
| Authorized Official Contact | 8604468744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bridgeworks Llc 115 Bridge St Groton CT 06340 Ph: (860) 446-8744 | Bridgeworks Llc 115 Bridge St Groton CT 06340 Ph: (860) 446-8744 |
| NPI Number | 1720034457 |
|---|---|
| Provider Enumeration Date | 05/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0143515809 |
|---|---|
| Medicare Enrollment ID | O20160820000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720034457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 008564 (Connecticut) | Primary |
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