| Compassion Dental | |
|
218 Main Street Farmington CT 06032-3623 | |
| (860) 470-3660 | |
| (860) 404-5642 |
| Full Name | Compassion Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 218 Main Street, Farmington, Connecticut |
| Authorized Official Name and Position | Jennifer A Diederich (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8604703660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassion Dental 218 Main Street Farmington CT 06032-3623 Ph: (860) 470-3660 | Compassion Dental 218 Main Street Farmington CT 06032-3623 Ph: (860) 470-3660 |
| NPI Number | 1417200932 |
|---|---|
| Provider Enumeration Date | 10/22/2012 |
| Last Update Date | 01/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417200932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7122 (Connecticut) | Primary |
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