| Smiles Of Hartford | |
|
330 Main St Hartford CT 06106-1860 | |
| (860) 444-9345 | |
| Not Available |
| Full Name | Smiles Of Hartford |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 330 Main St, Hartford, Connecticut |
| Authorized Official Name and Position | Angelina Santa Maria (BUSINESS/FINANCE MANAGER) |
| Authorized Official Contact | 8604449345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles Of Hartford 330 Main St Hartford CT 06106-1860 Ph: (860) 444-9345 | Smiles Of Hartford 330 Main St Hartford CT 06106-1860 Ph: (860) 444-9345 |
| NPI Number | 1164719456 |
|---|---|
| Provider Enumeration Date | 07/07/2011 |
| Last Update Date | 08/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164719456 | NPI | - | NPPES |
| 8727 | Other | CT | CONNECTICUT STATE DENTAL LICENSE |
| 002087270 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 8727 (Connecticut) | Primary |
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