| Connecticut Dental Professionals, P.c. | |
|
203 Storrs Rd Mansfield Center CT 06250-1638 | |
| (860) 423-9717 | |
| Not Available |
| Full Name | Connecticut Dental Professionals, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 203 Storrs Rd, Mansfield Center, Connecticut |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175406078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Dental Professionals, P.c. 203 Storrs Rd Mansfield Center CT 06250-1638 Ph: () - | Connecticut Dental Professionals, P.c. 203 Storrs Rd Mansfield Center CT 06250-1638 Ph: (860) 423-9717 |
| NPI Number | 1447886908 |
|---|---|
| Provider Enumeration Date | 03/17/2020 |
| Last Update Date | 03/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447886908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Mansfield Ct Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Higgins Hwy Ste 1, Mansfield Center, CT 06250 Phone: 860-456-2906 | |
Connecticut Dental Professionals, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Storrs Rd, Mansfield Center, CT 06250 Phone: 860-423-9717 | |
Mansfield Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Higgins Hwy, Mansfield Center, CT 06250 Phone: 860-456-2906 |