| Manchester Dental Group | |
|
419 Middle Tpke W Manchester CT 06040-3833 | |
| (954) 798-0320 | |
| Not Available |
| Full Name | Manchester Dental Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 419 Middle Tpke W, Manchester, Connecticut |
| Authorized Official Name and Position | Kanwarpal Singh (SOLE OWNER) |
| Authorized Official Contact | 9547980320 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Manchester Dental Group 419 Middle Tpke W Manchester CT 06040-3833 Ph: (954) 798-0320 | Manchester Dental Group 419 Middle Tpke W Manchester CT 06040-3833 Ph: (954) 798-0320 |
| NPI Number | 1497156145 |
|---|---|
| Provider Enumeration Date | 09/12/2014 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 5597103499 |
|---|---|
| Medicare Enrollment ID | O20240410001934 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497156145 | NPI | - | NPPES |
| 008017936 | Medicaid | CT |
| Provider Name | Kanwarpal Singh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1083927214 PECOS PAC ID: 1355788274 Enrollment ID: I20240327000537 |
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