| Glastonbury Dental Associates Llp | |
|
416 New London Tpke Glastonbury CT 06033-2237 | |
| (860) 633-3671 | |
| (860) 633-9128 |
| Full Name | Glastonbury Dental Associates Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 416 New London Tpke, Glastonbury, Connecticut |
| Authorized Official Name and Position | Jonathan C Susat (PARTNER) |
| Authorized Official Contact | 8606333671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glastonbury Dental Associates Llp 416 New London Tpke Glastonbury CT 06033-2237 Ph: (860) 633-3671 | Glastonbury Dental Associates Llp 416 New London Tpke Glastonbury CT 06033-2237 Ph: (860) 633-3671 |
| NPI Number | 1427189893 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427189893 | NPI | - | NPPES |
| Z12996 | Other | CT | BC MA PROVIDER ID-GROUP |
| 20772-1 | Other | CT | UHC-GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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