| New Haven Dental Associates | |
|
1423 Chapel St Suite 3a New Haven CT 06511-4411 | |
| (203) 562-0234 | |
| (203) 865-2556 |
| Full Name | New Haven Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 1423 Chapel St, New Haven, Connecticut |
| Authorized Official Name and Position | Parvez Baig (OWNER) |
| Authorized Official Contact | 2035620234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Haven Dental Associates 1423 Chapel St Suite 3a New Haven CT 06511-4411 Ph: (203) 562-0234 | New Haven Dental Associates 1423 Chapel St Suite 3a New Haven CT 06511-4411 Ph: (203) 562-0234 |
| NPI Number | 1023419587 |
|---|---|
| Provider Enumeration Date | 09/15/2014 |
| Last Update Date | 09/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023419587 | NPI | - | NPPES |
| 1720242563 | Medicaid | CT | |
| 1528408200 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 010389 (Connecticut) | Primary |
| 122300000X | Dentist | 10977 (Connecticut) | Secondary |
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