Jeremiah N. O'dwyer, Dds, Llc | |
15 Middle Tpke W Manchester CT 06040-4045 | |
(860) 643-6992 | |
(860) 645-1882 |
Full Name | Jeremiah N. O'dwyer, Dds, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 15 Middle Tpke W, Manchester, Connecticut |
Authorized Official Name and Position | Jeremiah N. O'dwyer (PRESIDENT) |
Authorized Official Contact | 8606436992 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jeremiah N. O'dwyer, Dds, Llc 15 Middle Tpke W Manchester CT 06040-4045 Ph: (860) 643-6992 | Jeremiah N. O'dwyer, Dds, Llc 15 Middle Tpke W Manchester CT 06040-4045 Ph: (860) 643-6992 |
NPI Number | 1770659138 |
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Provider Enumeration Date | 11/28/2006 |
Last Update Date | 04/09/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770659138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 008157 (Connecticut) | Primary |
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