| Farmington Avenue Dental Care, Pc | |
|
576 Farmington Ave Hartford CT 06105-3015 | |
| (860) 232-9002 | |
| (860) 523-9097 |
| Full Name | Farmington Avenue Dental Care, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 576 Farmington Ave, Hartford, Connecticut |
| Authorized Official Name and Position | June Staple (OFFICE MANAGER) |
| Authorized Official Contact | 8602329002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farmington Avenue Dental Care, Pc 576 Farmington Ave Hartford CT 06105-3015 Ph: (860) 232-9002 | Farmington Avenue Dental Care, Pc 576 Farmington Ave Hartford CT 06105-3015 Ph: (860) 232-9002 |
| NPI Number | 1639386634 |
|---|---|
| Provider Enumeration Date | 05/17/2007 |
| Last Update Date | 12/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639386634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7279 (Connecticut) | Primary |
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