| Central Ct. Pediatric Dentistry | |
|
828 Newfield St Middletown CT 06457-1857 | |
| (860) 613-0553 | |
| Not Available |
| Full Name | Central Ct. Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 828 Newfield St, Middletown, Connecticut |
| Authorized Official Name and Position | Robert R. Gatehouse (PARTNER) |
| Authorized Official Contact | 8606130553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Ct. Pediatric Dentistry 828 Newfield St Middletown CT 06457-1857 Ph: (860) 613-0553 | Central Ct. Pediatric Dentistry 828 Newfield St Middletown CT 06457-1857 Ph: (860) 613-0553 |
| NPI Number | 1871747980 |
|---|---|
| Provider Enumeration Date | 11/17/2008 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871747980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5145 (Connecticut) | Primary |
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