| Colchester Dental Group, Llc | |
|
79a Norwich Avenue Colchester CT 06415-0193 | |
| (860) 537-2351 | |
| (860) 537-2354 |
| Full Name | Colchester Dental Group, Llc |
|---|---|
| Speciality | Dentist |
| Location | 79a Norwich Avenue, Colchester, Connecticut |
| Authorized Official Name and Position | Martin H Zase (PARTNER) |
| Authorized Official Contact | 8605372351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colchester Dental Group, Llc P.o. Box 193 79a Norwich Ave Colchester CT 06415-0193 Ph: (860) 537-2351 | Colchester Dental Group, Llc 79a Norwich Avenue Colchester CT 06415-0193 Ph: (860) 537-2351 |
| NPI Number | 1194807982 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 05/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194807982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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Life Long Dental Care Of Colchester Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Broadway St, Colchester, CT 06415 Phone: 860-537-1444 |