| Fairfield Dental Care | |
|
267 Center St West Haven CT 06516-4405 | |
| (203) 932-3700 | |
| (475) 238-8291 |
| Full Name | Fairfield Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 267 Center St, West Haven, Connecticut |
| Authorized Official Name and Position | Glen Hacker (OWNER) |
| Authorized Official Contact | 2039323700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Dental Care 267 Center St West Haven CT 06516-4405 Ph: (203) 932-3700 | Fairfield Dental Care 267 Center St West Haven CT 06516-4405 Ph: (203) 932-3700 |
| NPI Number | 1316233182 |
|---|---|
| Provider Enumeration Date | 06/21/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316233182 | NPI | - | NPPES |
| 1871668053 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7148 (Connecticut) | Primary |
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