| Bright Smile Americadental Center | |
|
719 Cottage Grove Rd Bloomfield CT 06002-3040 | |
| (860) 242-5005 | |
| (860) 242-9998 |
| Full Name | Bright Smile Americadental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 719 Cottage Grove Rd, Bloomfield, Connecticut |
| Authorized Official Name and Position | Robert Harris (OWNER) |
| Authorized Official Contact | 8602425005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bright Smile Americadental Center 719 Cottage Grove Rd Bloomfield CT 06002-3040 Ph: (860) 242-5005 | Bright Smile Americadental Center 719 Cottage Grove Rd Bloomfield CT 06002-3040 Ph: (860) 242-5005 |
| NPI Number | 1295009751 |
|---|---|
| Provider Enumeration Date | 03/01/2012 |
| Last Update Date | 06/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295009751 | NPI | - | NPPES |
| 008031624 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7338 (Connecticut) | Primary |
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