| Glazer Dental Associates | |
|
16 Main St Suite #303 Durham CT 06422-2116 | |
| (860) 349-3368 | |
| (860) 349-1481 |
| Full Name | Glazer Dental Associates |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 16 Main St, Durham, Connecticut |
| Authorized Official Name and Position | Jason Robert Glazer (DENTIST/OWNER) |
| Authorized Official Contact | 8603493368 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glazer Dental Associates 16 Main St Suite #303 Durham CT 06422-2116 Ph: (860) 349-3368 | Glazer Dental Associates 16 Main St Suite #303 Durham CT 06422-2116 Ph: (860) 349-3368 |
| NPI Number | 1437388873 |
|---|---|
| Provider Enumeration Date | 07/07/2009 |
| Last Update Date | 07/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437388873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 009354 (Connecticut) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 009873 (Connecticut) | Primary |
Durham Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Main St Ste D, Durham, CT 06422 Phone: 860-349-1123 | |
Durham Dental Studio, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Main St # D, Durham, CT 06422 Phone: 860-349-1123 Fax: 860-349-2040 | |
Durham Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 D Main Street, Durham, CT 06422 Phone: 860-349-1123 Fax: 860-349-2040 |