| Robert J. Gange, Dds,ms,llc | |
|
351 Merline Rd Vernon CT 06066-4040 | |
| (860) 875-1886 | |
| (860) 870-9091 |
| Full Name | Robert J. Gange, Dds,ms,llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 351 Merline Rd, Vernon, Connecticut |
| Authorized Official Name and Position | Robert Joseph Gange (PRESIDENT) |
| Authorized Official Contact | 8608751886 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert J. Gange, Dds,ms,llc 351 Merline Rd Vernon CT 06066-4040 Ph: (860) 875-1886 | Robert J. Gange, Dds,ms,llc 351 Merline Rd Vernon CT 06066-4040 Ph: (860) 875-1886 |
| NPI Number | 1992934822 |
|---|---|
| Provider Enumeration Date | 07/13/2009 |
| Last Update Date | 02/14/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992934822 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | CT4562 (Connecticut) | Primary |
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