| Endodontic Specialists Llc | |
|
2 Chucrh St # 670 Ellington CT 06029-0670 | |
| (860) 000-0000 | |
| Not Available |
| Full Name | Endodontic Specialists Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 2 Chucrh St # 670, Ellington, Connecticut |
| Authorized Official Name and Position | Stanislav Moline (MANAGER) |
| Authorized Official Contact | 8600000000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontic Specialists Llc Po Box 670 Ellington CT 06029-0670 Ph: () - | Endodontic Specialists Llc 2 Chucrh St # 670 Ellington CT 06029-0670 Ph: (860) 000-0000 |
| NPI Number | 1225399108 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 06/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225399108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 9473 (Connecticut) | Primary |
Ellington Dental Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 West Rd, Ellington, CT 06029 Phone: 860-872-2452 Fax: 860-870-1385 | |
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 |