| Durham Dental Llc | |
|
360 D Main Street Durham CT 06422 | |
| (860) 349-1123 | |
| (860) 349-2040 |
| Full Name | Durham Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 360 D Main Street, Durham, Connecticut |
| Authorized Official Name and Position | William J Witkowski (DENTIST) |
| Authorized Official Contact | 8603491123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Durham Dental Llc Po Box 177 360 D Main Street Durham CT 06422 Ph: (860) 349-1123 | Durham Dental Llc 360 D Main Street Durham CT 06422 Ph: (860) 349-1123 |
| NPI Number | 1790999019 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790999019 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5206 (Connecticut) | Secondary |
| 122300000X | Dentist | 5860 (Connecticut) | Primary |
Durham Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Main St Ste D, Durham, CT 06422 Phone: 860-349-1123 | |
Glazer Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Main St, Suite #303, Durham, CT 06422 Phone: 860-349-3368 Fax: 860-349-1481 | |
Durham Dental Studio, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Main St # D, Durham, CT 06422 Phone: 860-349-1123 Fax: 860-349-2040 |