| Connecticut Family Dentistry, Llc | |
|
945 Main St Suite 101 Manchester CT 06040-6064 | |
| (860) 646-1704 | |
| Not Available |
| Full Name | Connecticut Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 945 Main St, Manchester, Connecticut |
| Authorized Official Name and Position | Kim L Warner (OFFICE MANAGER) |
| Authorized Official Contact | 8606461704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Family Dentistry, Llc 945 Main St Suite 101 Manchester CT 06040-6064 Ph: (860) 646-1704 | Connecticut Family Dentistry, Llc 945 Main St Suite 101 Manchester CT 06040-6064 Ph: (860) 646-1704 |
| NPI Number | 1770814956 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 01/27/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770814956 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4590 (Connecticut) | Primary |
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