| Hwang Long Term Dental | |
|
174 Scott Rd Prospect CT 06712-1300 | |
| (475) 238-8165 | |
| (475) 655-2967 |
| Full Name | Hwang Long Term Dental |
|---|---|
| Speciality | Dentist |
| Location | 174 Scott Rd, Prospect, Connecticut |
| Authorized Official Name and Position | Michael Hwang (DENTIST) |
| Authorized Official Contact | 4752388165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hwang Long Term Dental Po Box 7227 174 Scott Road Prospect CT 06787-1300 Ph: (475) 238-8165 | Hwang Long Term Dental 174 Scott Rd Prospect CT 06712-1300 Ph: (475) 238-8165 |
| NPI Number | 1770024085 |
|---|---|
| Provider Enumeration Date | 03/20/2017 |
| Last Update Date | 03/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770024085 | NPI | - | NPPES |
| 1568685352 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 009577 (Connecticut) | Primary |
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