| Family Dentistry Of Derby P.c | |
|
115 New Haven Ave Derby CT 06418-2154 | |
| (203) 751-9657 | |
| (203) 751-9827 |
| Full Name | Family Dentistry Of Derby P.c |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 115 New Haven Ave, Derby, Connecticut |
| Authorized Official Name and Position | Mark Agababaev (PRESIDENT) |
| Authorized Official Contact | 7188871397 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Dentistry Of Derby P.c 115 New Haven Ave Derby CT 06418-2154 Ph: (203) 751-9657 | Family Dentistry Of Derby P.c 115 New Haven Ave Derby CT 06418-2154 Ph: (203) 751-9657 |
| NPI Number | 1881930501 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 10/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881930501 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Robert E. Smith Dds Mph Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 New Haven Ave, Derby, CT 06418 Phone: 203-732-4747 Fax: 203-734-4101 | |
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Family Dentistry Of Derby Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 New Haven Ave, Derby, CT 06418 Phone: 203-751-9667 | |
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