| East Haddam Dental Associates Pc | |
|
32 William F Palmer Road Moodus CT 06469 | |
| (860) 873-1404 | |
| (860) 873-1405 |
| Full Name | East Haddam Dental Associates Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 32 William F Palmer Road, Moodus, Connecticut |
| Authorized Official Name and Position | Karl Peter Stofko (SECRETARY) |
| Authorized Official Contact | 8608731404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Haddam Dental Associates Pc Po Box 362 Moodus CT 06469-0362 Ph: (860) 873-1404 | East Haddam Dental Associates Pc 32 William F Palmer Road Moodus CT 06469 Ph: (860) 873-1404 |
| NPI Number | 1528162633 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528162633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
East Haddam Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 32 William F Palmer Rd, Moodus, CT 06469 Phone: 860-873-1405 |