| Lance E. Banwell,dds,pc | |
|
387 Main St S Woodbury CT 06798-2608 | |
| (203) 263-5300 | |
| (203) 263-4327 |
| Full Name | Lance E. Banwell,dds,pc |
|---|---|
| Speciality | Dentist |
| Location | 387 Main St S, Woodbury, Connecticut |
| Authorized Official Name and Position | Lance E Banwell (PRESIDENT) |
| Authorized Official Contact | 2032635300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lance E. Banwell,dds,pc 387 Main St S Woodbury CT 06798-3412 Ph: (203) 263-5300 | Lance E. Banwell,dds,pc 387 Main St S Woodbury CT 06798-2608 Ph: (203) 263-5300 |
| NPI Number | 1750599270 |
|---|---|
| Provider Enumeration Date | 05/18/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750599270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 05392 (Connecticut) | Primary |
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