| East Haddam Dental Associates | |
|
32 William F Palmer Rd Moodus CT 06469-1131 | |
| (860) 873-1405 | |
| Not Available |
| Full Name | East Haddam Dental Associates |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 32 William F Palmer Rd, Moodus, Connecticut |
| Authorized Official Name and Position | Leah Ann Maylott (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 8608748198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Haddam Dental Associates 32 William F Palmer Rd Moodus CT 06469-1131 Ph: (860) 874-8198 | East Haddam Dental Associates 32 William F Palmer Rd Moodus CT 06469-1131 Ph: (860) 873-1405 |
| NPI Number | 1447744891 |
|---|---|
| Provider Enumeration Date | 06/19/2018 |
| Last Update Date | 01/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447744891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
East Haddam Dental Associates Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 William F Palmer Road, Moodus, CT 06469 Phone: 860-873-1404 Fax: 860-873-1405 |