| Ellington Dental Associates, P.c. | |
|
175 West Rd Ellington CT 06029-3730 | |
| (860) 872-2452 | |
| (860) 870-1385 |
| Full Name | Ellington Dental Associates, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 175 West Rd, Ellington, Connecticut |
| Authorized Official Name and Position | Joann Llois Vallera (PRESIDENT) |
| Authorized Official Contact | 8608722452 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ellington Dental Associates, P.c. 175 West Rd Ellington CT 06029-3730 Ph: (860) 872-2452 | Ellington Dental Associates, P.c. 175 West Rd Ellington CT 06029-3730 Ph: (860) 872-2452 |
| NPI Number | 1730390352 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730390352 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CT7869 (Connecticut) | Primary |
Endodontic Specialists Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Chucrh St # 670, Ellington, CT 06029 Phone: 860-000-0000 | |
Zahner Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Main St, Ellington, CT 06029 Phone: 860-870-9031 Fax: 860-871-2964 |