| Smiles In Bloom Pediatric Dentsitry | |
|
137 Prospect Hill Rd East Windsor CT 06088-3602 | |
| (860) 254-5840 | |
| (860) 254-5830 |
| Full Name | Smiles In Bloom Pediatric Dentsitry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 137 Prospect Hill Rd, East Windsor, Connecticut |
| Authorized Official Name and Position | Justin Ryan Bloom (OWNER) |
| Authorized Official Contact | 8602545840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles In Bloom Pediatric Dentsitry Po Box 806 East Windsor CT 06088-0806 Ph: (860) 254-5840 | Smiles In Bloom Pediatric Dentsitry 137 Prospect Hill Rd East Windsor CT 06088-3602 Ph: (860) 254-5840 |
| NPI Number | 1346623600 |
|---|---|
| Provider Enumeration Date | 07/06/2015 |
| Last Update Date | 07/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346623600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 010228 (Connecticut) | Primary |
Dasilva Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 North Rd, East Windsor, CT 06088 Phone: 860-627-5232 | |
Essel Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 S Main St Ste 14, East Windsor, CT 06088 Phone: 860-254-6955 Fax: 860-254-6956 |