Northeast Connecticut Dental Associates, Inc. | |
227 Pomfret St Putnam CT 06260-1835 | |
(860) 963-7676 | |
(860) 963-2258 |
Full Name | Northeast Connecticut Dental Associates, Inc. |
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Speciality | Dentist - General Practice |
Location | 227 Pomfret St, Putnam, Connecticut |
Authorized Official Name and Position | John J. Mooney (PRESIDENT) |
Authorized Official Contact | 8609637676 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northeast Connecticut Dental Associates, Inc. 227 Pomfret St Putnam CT 06260-1835 Ph: (860) 963-7676 | Northeast Connecticut Dental Associates, Inc. 227 Pomfret St Putnam CT 06260-1835 Ph: (860) 963-7676 |
NPI Number | 1639219140 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639219140 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 007544 (Connecticut) | Primary |
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