| Middlesex Dental Group Pc | |
|
106 Noroton Ave Middlesex Dental Darien CT 06820-5237 | |
| (203) 655-9922 | |
| (203) 655-9597 |
| Full Name | Middlesex Dental Group Pc |
|---|---|
| Speciality | Dentist |
| Location | 106 Noroton Ave, Darien, Connecticut |
| Authorized Official Name and Position | Joseph D Miceli (PRESIDENT) |
| Authorized Official Contact | 2036559922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middlesex Dental Group Pc 106 Noroton Ave Middlesex Dental Darien CT 06820-5237 Ph: (203) 655-9922 | Middlesex Dental Group Pc 106 Noroton Ave Middlesex Dental Darien CT 06820-5237 Ph: (203) 655-9922 |
| NPI Number | 1184849713 |
|---|---|
| Provider Enumeration Date | 04/17/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184849713 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4093 (Connecticut) | Secondary |
| 122300000X | Dentist | 4887 (Connecticut) | Primary |
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