| Kevin Purviance Dmd Llc | |
|
61 S Main St Suite 301 West Hartford CT 06107-2486 | |
| (860) 236-2566 | |
| (860) 236-2282 |
| Full Name | Kevin Purviance Dmd Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 61 S Main St, West Hartford, Connecticut |
| Authorized Official Name and Position | Kevin Purviance (OWNER) |
| Authorized Official Contact | 8602562566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin Purviance Dmd Llc 61 S Main St Suite 301 West Hartford CT 06107-2486 Ph: (860) 236-2566 | Kevin Purviance Dmd Llc 61 S Main St Suite 301 West Hartford CT 06107-2486 Ph: (860) 236-2566 |
| NPI Number | 1083971212 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 04/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083971212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 9313 (Connecticut) | Primary |
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