| Coastal Connecticut Dentistry, Llc | |
|
112 Cross Road Waterford CT 06385 | |
| (860) 447-1787 | |
| (860) 447-1211 |
| Full Name | Coastal Connecticut Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 112 Cross Road, Waterford, Connecticut |
| Authorized Official Name and Position | Lloyd P Mcdonald (MEMBER/OWNER) |
| Authorized Official Contact | 8604471787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Connecticut Dentistry, Llc 112 Cross Road Waterford CT 06385 Ph: (860) 447-1787 | Coastal Connecticut Dentistry, Llc 112 Cross Road Waterford CT 06385 Ph: (860) 447-1787 |
| NPI Number | 1689722365 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689722365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9096 (Connecticut) | Primary |
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