| School Of Dental Medicine | |
|
263 Farmington Ave Oral And Maxillofacial Radiology Mc 2110 Farmington CT 06030-0001 | |
| (860) 679-2453 | |
| (860) 679-2756 |
| Full Name | School Of Dental Medicine |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Radiology |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Alan G. Lurie (PROFESSOR) |
| Authorized Official Contact | 8606792453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| School Of Dental Medicine 263 Farmington Ave Oral And Maxillofacial Radiology Mc 2110 Farmington CT 06030-0001 Ph: (860) 679-2453 | School Of Dental Medicine 263 Farmington Ave Oral And Maxillofacial Radiology Mc 2110 Farmington CT 06030-0001 Ph: (860) 679-2453 |
| NPI Number | 1770572588 |
|---|---|
| Provider Enumeration Date | 10/14/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770572588 | NPI | - | NPPES |
| 2047513 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0008X | Dentist - Oral And Maxillofacial Radiology | 004751 (Connecticut) | Primary |
Pure Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Forest Park Dr Ste 1, Farmington, CT 06032 Phone: 860-558-4473 | |
Dental Associates Dental Clinic Medicare: Medicare Enrolled Practice Location: 291 Farmington Ave, Farmington, CT 06032 Phone: 860-677-8666 Fax: 860-677-5839 | |
Peter Peterson & Jesse Sorrentino P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 291 Farmington Ave, Farmington, CT 06032 Phone: 860-677-8747 Fax: 860-674-9670 | |
Compassion Dental 06032 Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Main St, Farmington, CT 06032 Phone: 860-470-3660 | |
Farmington Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Melrose Dr, Farmington, CT 06032 Phone: 860-677-1316 Fax: 860-677-4537 | |
Connecticut Maxillofacial Surgeons, Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 291 Farmington Ave, Farmington, CT 06032 Phone: 860-678-7528 Fax: 860-678-7933 | |
Smiles By Suzy Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 S East Rd, Farmington, CT 06032 Phone: 860-676-0050 |