| Sparkling Smiles Pllc | |
|
148 Talcottville Rd Vernon CT 06066-4705 | |
| (860) 926-4789 | |
| Not Available |
| Full Name | Sparkling Smiles Pllc |
|---|---|
| Speciality | Dentist |
| Location | 148 Talcottville Rd, Vernon, Connecticut |
| Authorized Official Name and Position | Nishit Modi (OWNER) |
| Authorized Official Contact | 8603296539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sparkling Smiles Pllc 685 Queen St Unit 3 Southington CT 06489-1547 Ph: (860) 863-5831 | Sparkling Smiles Pllc 148 Talcottville Rd Vernon CT 06066-4705 Ph: (860) 926-4789 |
| NPI Number | 1376187872 |
|---|---|
| Provider Enumeration Date | 10/29/2019 |
| Last Update Date | 10/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376187872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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