| Greene Dental Group, Llc | |
|
65 Sachem St Norwich CT 06360-4201 | |
| (860) 889-8427 | |
| (860) 204-9402 |
| Full Name | Greene Dental Group, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 65 Sachem St, Norwich, Connecticut |
| Authorized Official Name and Position | Jonathan Edward Greene (PRESIDENT) |
| Authorized Official Contact | 8608898427 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene Dental Group, Llc 65 Sachem St Norwich CT 06360-4201 Ph: (860) 889-8427 | Greene Dental Group, Llc 65 Sachem St Norwich CT 06360-4201 Ph: (860) 889-8427 |
| NPI Number | 1497952923 |
|---|---|
| Provider Enumeration Date | 06/28/2007 |
| Last Update Date | 06/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497952923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 009537 (Connecticut) | Primary |
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