| Quinnipiac Endo, Pllc | |
|
850 North Main St. Ext. Bldg. 2, Suite D3 Wallingford CT 06492 | |
| (203) 284-9945 | |
| (203) 294-4869 |
| Full Name | Quinnipiac Endo, Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 850 North Main St. Ext., Wallingford, Connecticut |
| Authorized Official Name and Position | Carla Thiede (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2032849945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quinnipiac Endo, Pllc 850 North Main St. Ext. Bldg. 2, Suite D3 Wallingford CT 06492 Ph: (203) 284-9945 | Quinnipiac Endo, Pllc 850 North Main St. Ext. Bldg. 2, Suite D3 Wallingford CT 06492 Ph: (203) 284-9945 |
| NPI Number | 1487364063 |
|---|---|
| Provider Enumeration Date | 12/05/2022 |
| Last Update Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487364063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
Quinnipiac Endo Ct Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 850 N Main Street Ext Ste D3, Wallingford, CT 06492 Phone: 203-284-9945 | |
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