| Full Name | |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 85 North St, Danbury, Connecticut |
| Authorized Official Name and Position | Mike J Cole (VP INSURANCE PLAN MANAGEMENT) |
| Authorized Official Contact | 7274242990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2 Stony Hill Rd Ste 101 Bethel CT 06801-1045 Ph: (203) 743-4770 | 85 North St Danbury CT 06810-5635 Ph: (203) 743-4770 |
| NPI Number | 1588040687 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 08/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588040687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5239 (Connecticut) | Primary |
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