| Four Town Dental Care, Llc | |
|
24 Battle St Somers CT 06071-1629 | |
| (860) 749-6088 | |
| Not Available |
| Full Name | Four Town Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 24 Battle St, Somers, Connecticut |
| Authorized Official Name and Position | Venu M Chimmiri (OWNER/ MEMBER) |
| Authorized Official Contact | 8607496088 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Town Dental Care, Llc 24 Battle St Somers CT 06071-1629 Ph: (860) 749-6088 | Four Town Dental Care, Llc 24 Battle St Somers CT 06071-1629 Ph: (860) 749-6088 |
| NPI Number | 1164822466 |
|---|---|
| Provider Enumeration Date | 08/25/2014 |
| Last Update Date | 08/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164822466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9368 (Connecticut) | Primary |
James P. Fitzgerald Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 South Rd, Somers, CT 06071 Phone: 860-749-0781 |