| Pristine Smile Dental Pllc | |
|
599 Main St Ste 4 Manchester CT 06040-5156 | |
| (860) 647-1565 | |
| (860) 643-2796 |
| Full Name | Pristine Smile Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 599 Main St Ste 4, Manchester, Connecticut |
| Authorized Official Name and Position | Jason Lee Hernandez (DENTIST OWNER) |
| Authorized Official Contact | 8609901792 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pristine Smile Dental Pllc 599 Main St Ste 4 Manchester CT 06040-5156 Ph: (860) 647-1565 | Pristine Smile Dental Pllc 599 Main St Ste 4 Manchester CT 06040-5156 Ph: (860) 647-1565 |
| NPI Number | 1316692106 |
|---|---|
| Provider Enumeration Date | 02/20/2022 |
| Last Update Date | 02/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316692106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Sph3enterprise, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 Buckland Hills Drive, Manchester, CT 06042 Phone: 860-644-0099 Fax: 860-644-0109 | |
Gil D. Boisoneau, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 E Center St, Manchester, CT 06040 Phone: 860-643-0688 Fax: 860-432-8495 | |
Dr. Dental Of Manchester, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Spencer St, Manchester, CT 06040 Phone: 617-823-2111 | |
Columbia Oral Maxillofacial Imaging Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 483 Middle Tpke W, Manchester, CT 06040 Phone: 860-645-0111 | |
Sph3 Enterprise Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 Buckland Hills Dr, Suite 1076, Manchester, CT 06042 Phone: 860-644-0099 | |
Daniel R. Saunders Dmd Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 945 Main Street Suite 310, Manchester, CT 06040 Phone: 860-647-9926 Fax: 860-645-7723 | |
Manchester Smiles Family And Implant Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 168 Spencer St, Manchester, CT 06040 Phone: 860-649-2796 |