The Dentist Llc | |
2434 Berlin Tpke Newington CT 06111-4121 | |
(860) 667-8186 | |
(860) 667-8179 |
Full Name | The Dentist Llc |
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Speciality | Dentist - General Practice |
Location | 2434 Berlin Tpke, Newington, Connecticut |
Authorized Official Name and Position | Pam Kennedy (OFFICE MANAGER) |
Authorized Official Contact | 8606678186 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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The Dentist Llc 2434 Berlin Tpke Newington CT 06111-4121 Ph: (860) 667-8186 | The Dentist Llc 2434 Berlin Tpke Newington CT 06111-4121 Ph: (860) 667-8186 |
NPI Number | 1043428683 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1043428683 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 020004762CT01 (Connecticut) | Primary |
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