| Windsor Family Dentists | |
|
824 Marshall Phelps Rd Windsor CT 06095-2107 | |
| (860) 683-2270 | |
| Not Available |
| Full Name | Windsor Family Dentists |
|---|---|
| Speciality | Dentist |
| Location | 824 Marshall Phelps Rd, Windsor, Connecticut |
| Authorized Official Name and Position | Ruth Elizabeth Murphy (OWNER) |
| Authorized Official Contact | 8606832270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Windsor Family Dentists 824 Marshall Phelps Rd Windsor CT 06095-2107 Ph: (860) 683-2270 | Windsor Family Dentists 824 Marshall Phelps Rd Windsor CT 06095-2107 Ph: (860) 683-2270 |
| NPI Number | 1790951762 |
|---|---|
| Provider Enumeration Date | 04/30/2008 |
| Last Update Date | 04/30/2008 |
| Medicare PECOS PAC ID | 0941548945 |
|---|---|
| Medicare Enrollment ID | O20190218001785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790951762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | CT6869 (Connecticut) | Primary |
| Provider Name | Thomas F Cronin |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265608210 PECOS PAC ID: 7113217043 Enrollment ID: I20190218001974 |
| Provider Name | Ruth E Murphy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1871769828 PECOS PAC ID: 1254621014 Enrollment ID: I20190307001000 |
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