| Life Long Dental Care Of Colchester Llc | |
|
151 Broadway St Colchester CT 06415-1056 | |
| (860) 537-1444 | |
| Not Available |
| Full Name | Life Long Dental Care Of Colchester Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 151 Broadway St, Colchester, Connecticut |
| Authorized Official Name and Position | Jeremiah Long (OWNER) |
| Authorized Official Contact | 8605371444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Life Long Dental Care Of Colchester Llc 151 Broadway St Colchester CT 06415-1056 Ph: (860) 537-1444 | Life Long Dental Care Of Colchester Llc 151 Broadway St Colchester CT 06415-1056 Ph: (860) 537-1444 |
| NPI Number | 1164842506 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164842506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Life Long Dental Care Of Colchester Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 151 Broadway St, Colchester, CT 06415 Phone: 860-537-1444 |