| Family Dental Practice Of Newington | |
|
375 Willard Ave Newington CT 06111-2300 | |
| (860) 665-0444 | |
| (860) 665-1465 |
| Full Name | Family Dental Practice Of Newington |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 375 Willard Ave, Newington, Connecticut |
| Authorized Official Name and Position | Lynn Micheline Almeida (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 8606650444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dental Practice Of Newington 375 Willard Ave Newington CT 06111-2300 Ph: (860) 665-0444 | Family Dental Practice Of Newington 375 Willard Ave Newington CT 06111-2300 Ph: (860) 665-0444 |
| NPI Number | 1164567111 |
|---|---|
| Provider Enumeration Date | 02/20/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164567111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4731 (Connecticut) | Primary |
| 122300000X | Dentist | 5832 (Connecticut) | Primary |
| 1223P0300X | Dentist - Periodontics | 5407 (Connecticut) | Primary |
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