| Shelton Dental Group | |
|
169 Center St Shelton CT 06484 | |
| (203) 925-9425 | |
| (203) 922-9322 |
| Full Name | Shelton Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 169 Center St, Shelton, Connecticut |
| Authorized Official Name and Position | Diane M Devries (BUSINESS MANAGER) |
| Authorized Official Contact | 8603424141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelton Dental Group 169 Center St Shelton CT 06484 Ph: (203) 295-9425 | Shelton Dental Group 169 Center St Shelton CT 06484 Ph: (203) 925-9425 |
| NPI Number | 1942450754 |
|---|---|
| Provider Enumeration Date | 09/29/2008 |
| Last Update Date | 09/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942450754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 009846 (Connecticut) | Secondary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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