| Storrs Endodontics & Periodontics | |
|
1022 Storrs Rd Ste C Storrs CT 06268-2639 | |
| (860) 429-2051 | |
| (860) 429-2053 |
| Full Name | Storrs Endodontics & Periodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1022 Storrs Rd Ste C, Storrs, Connecticut |
| Authorized Official Name and Position | Leah Ann Maylott (CREDENTIALING ADMINISTRATOR) |
| Authorized Official Contact | 8608748198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Storrs Endodontics & Periodontics 66 Dwight Rd Ste 4 Longmeadow MA 01106-1949 Ph: (413) 565-2733 | Storrs Endodontics & Periodontics 1022 Storrs Rd Ste C Storrs CT 06268-2639 Ph: (860) 429-2051 |
| NPI Number | 1144898503 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 10/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144898503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Secondary |
Storrs Endodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1733 Storrs Road, Storrs, CT 06268 Phone: 860-429-2051 Fax: 860-429-2053 |