| David R Edelson Dmd Pc | |
|
92 East St Plainville CT 06062-2302 | |
| (860) 747-1004 | |
| (860) 793-2219 |
| Full Name | David R Edelson Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 92 East St, Plainville, Connecticut |
| Authorized Official Name and Position | David Ross Edelson (PRESIDENT) |
| Authorized Official Contact | 8607471004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David R Edelson Dmd Pc 92 East St Plainville CT 06062-2302 Ph: (860) 747-1004 | David R Edelson Dmd Pc 92 East St Plainville CT 06062-2302 Ph: (860) 747-1004 |
| NPI Number | 1275806481 |
|---|---|
| Provider Enumeration Date | 02/18/2012 |
| Last Update Date | 06/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275806481 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 006399 (Connecticut) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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