Granby Dental, Llc is a dental clinic (Dentist - General Practice) in Granby, Connecticut. The current practice location for Granby Dental, Llc is 26 East Granby Rd., Granby, Connecticut. For appointments, you can reach them via phone at
(860) 653-7596. The mailing address for Granby Dental, Llc is 26 East Granby Rd., P.o. Box 450, Granby, Connecticut and phone number is (860) 653-7596.
Granby Dental, Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1295889517. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(860) 653-7596.
Dental Care Clinic Profile
| Full Name | Granby Dental, Llc |
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| Speciality | Dentist - General Practice |
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| Location | 26 East Granby Rd., Granby, Connecticut |
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| Authorized Official Name and Position | Richard S. Kirschbaum (OWNER) |
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| Authorized Official Contact | 8606537596 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Granby Dental, Llc
26 East Granby Rd.
P.o. Box 450
Granby
CT 06035-0450
Ph: (860) 653-7596 | Granby Dental, Llc
26 East Granby Rd.
Granby
CT 06035-0450
Ph: (860) 653-7596 |
NPI Details:
| NPI Number | 1295889517 |
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| Provider Enumeration Date | 01/23/2007 |
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| Last Update Date | 04/01/2013 |
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Medical Identifiers
Medical identifiers for Granby Dental, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295889517 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Secondary |
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Secondary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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