| Sangiacomo And Perrotta, D.m.d., Llc | |
|
27 Grassy Plain St Bethel CT 06801-1703 | |
| (203) 743-5600 | |
| (203) 743-2955 |
| Full Name | Sangiacomo And Perrotta, D.m.d., Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 27 Grassy Plain St, Bethel, Connecticut |
| Authorized Official Name and Position | Kenneth S Sangiacomo (PARTNER) |
| Authorized Official Contact | 2037435600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sangiacomo And Perrotta, D.m.d., Llc 27 Grassy Plain St Bethel CT 06801-1703 Ph: (203) 743-5600 | Sangiacomo And Perrotta, D.m.d., Llc 27 Grassy Plain St Bethel CT 06801-1703 Ph: (203) 743-5600 |
| NPI Number | 1275606840 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275606840 | NPI | - | NPPES |
| 007827 | Other | CT | DENTAL LICENSE |
| 007828 | Other | CT | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 007828 (Connecticut) | Primary |
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