| Family Dental Practice Of Bloomfield | |
|
3 Northwestern Dr Bloomfield CT 06002-3465 | |
| (860) 242-5594 | |
| Not Available |
| Full Name | Family Dental Practice Of Bloomfield |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3 Northwestern Dr, Bloomfield, Connecticut |
| Authorized Official Name and Position | Heidi B Tiedmann (DENTAL ADMINISTRATOR) |
| Authorized Official Contact | 8602425594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Practice Of Bloomfield 3 Northwestern Dr Bloomfield CT 06002-3465 Ph: (860) 242-5594 | Family Dental Practice Of Bloomfield 3 Northwestern Dr Bloomfield CT 06002-3465 Ph: (860) 242-5594 |
| NPI Number | 1114048519 |
|---|---|
| Provider Enumeration Date | 04/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114048519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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