| Endodontics Pc | |
|
190 Hempstead St New London CT 06320 | |
| (860) 447-0338 | |
| (860) 444-2202 |
| Full Name | Endodontics Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 190 Hempstead St, New London, Connecticut |
| Authorized Official Name and Position | Kenneth P Sunshine (PRESIDENT DENTIST) |
| Authorized Official Contact | 8604470338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Endodontics Pc 190 Hempstead St New London CT 06320 Ph: (860) 447-0338 | Endodontics Pc 190 Hempstead St New London CT 06320 Ph: (860) 447-0338 |
| NPI Number | 1437367158 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437367158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 004372 (Connecticut) | Primary |
| 1223E0200X | Dentist - Endodontics | 01761 (Rhode Island) | Secondary |
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