| Michael R Marcotte | |
|
5 Center St Bristol CT 06010-4916 | |
| (860) 589-3316 | |
| Not Available |
| Full Name | Michael R Marcotte |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5 Center St, Bristol, Connecticut |
| Authorized Official Name and Position | Michael Roger Marcotte (PRESIDENT) |
| Authorized Official Contact | 8605893316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael R Marcotte 5 Center St Bristol CT 06010-4916 Ph: (860) 589-3316 | Michael R Marcotte 5 Center St Bristol CT 06010-4916 Ph: (860) 589-3316 |
| NPI Number | 1861664369 |
|---|---|
| Provider Enumeration Date | 03/25/2008 |
| Last Update Date | 03/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861664369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4301 (Connecticut) | Primary |
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