| Middletown Dental Associates Llc | |
|
547 Main Street Middletown CT 06457-2806 | |
| (860) 346-3081 | |
| (860) 638-1123 |
| Full Name | Middletown Dental Associates Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 547 Main Street, Middletown, Connecticut |
| Authorized Official Name and Position | Peter Gletzakos (OWNER) |
| Authorized Official Contact | 8603463081 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Middletown Dental Associates Llc 547 Main Street Middletown CT 06457-2806 Ph: (860) 346-3081 | Middletown Dental Associates Llc 547 Main Street Middletown CT 06457-2806 Ph: (860) 346-3081 |
| NPI Number | 1073695466 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 09/28/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073695466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 008252 (Connecticut) | Primary |
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