Dr Richard Diotalevi, DMD is a
Dentist based in Bethany, Connecticut. Dr Richard Diotalevi is licensed to practice in Connecticut (license number 006208) and his current practice location is
24 Timber Ln, Bethany, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 393-0265.
NPI number for Dr Richard Diotalevi is 1245404219 and his current mailing address is 24 Timber Ln, Bethany, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245404219.
Healthcare Provider's Profile
| Full Name | Dr Richard Diotalevi |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 24 Timber Ln, Bethany, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245404219
- Provider Enumeration Date: 04/21/2008
- Last Update Date: 04/21/2008
Medical Identifiers
Medical identifiers for Dr Richard Diotalevi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245404219 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 006208 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Richard Diotalevi is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Richard Diotalevi, DMD
24 Timber Ln,
Bethany, CT 06524-3332
Ph: (203) 393-0265 | Dr Richard Diotalevi, DMD
24 Timber Ln,
Bethany, CT 06524-3332
Ph: (203) 393-0265 |
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