| Elite Dental | |
|
1 Willowbrook Rd Suite 1 Cromwell CT 06416-1101 | |
| (860) 740-5009 | |
| (860) 316-5861 |
| Full Name | Elite Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1 Willowbrook Rd, Cromwell, Connecticut |
| Authorized Official Name and Position | James Nguyen (OWNER) |
| Authorized Official Contact | 8607405096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dental 294 Paxton Way Glastonbury CT 06033-3384 Ph: () - | Elite Dental 1 Willowbrook Rd Suite 1 Cromwell CT 06416-1101 Ph: (860) 740-5009 |
| NPI Number | 1366891509 |
|---|---|
| Provider Enumeration Date | 06/08/2016 |
| Last Update Date | 06/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366891509 | NPI | - | NPPES |
| 1801913660 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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