| Bristol City Health Dept Dental Clinic | |
|
205 Piedmont Ave Bristol CT 24201 | |
| (276) 642-7335 | |
| (276) 642-7347 |
| Full Name | Bristol City Health Dept Dental Clinic |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 205 Piedmont Ave, Bristol, Connecticut |
| Authorized Official Name and Position | Anna H Stevens (BUSINESS MANAGER) |
| Authorized Official Contact | 2767817450 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bristol City Health Dept Dental Clinic 205 Piedmont Ave Bristol CT 24201 Ph: (276) 642-7335 | Bristol City Health Dept Dental Clinic 205 Piedmont Ave Bristol CT 24201 Ph: (276) 642-7335 |
| NPI Number | 1093891806 |
|---|---|
| Provider Enumeration Date | 10/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093891806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | 0401003521 (Virginia) | Primary |
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