| Connecticut Orthodontic Specialists | |
|
914 Hartford Tpke Waterford CT 06385-4229 | |
| (860) 439-1022 | |
| (860) 447-1766 |
| Full Name | Connecticut Orthodontic Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 914 Hartford Tpke, Waterford, Connecticut |
| Authorized Official Name and Position | Robert David Rosenberg (PRESIDENT) |
| Authorized Official Contact | 8604391022 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Orthodontic Specialists 914 Hartford Tpke Waterford CT 06385-4229 Ph: (860) 439-1022 | Connecticut Orthodontic Specialists 914 Hartford Tpke Waterford CT 06385-4229 Ph: (860) 439-1022 |
| NPI Number | 1003037953 |
|---|---|
| Provider Enumeration Date | 05/01/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003037953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8223 (Connecticut) | Primary |
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