Dr Susan Lee, DDS | |
323 Main St, West Haven, CT 06516-4424 | |
(203) 937-7181 | |
(203) 937-1940 |
Full Name | Dr Susan Lee |
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Gender | Female |
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 323 Main St, West Haven, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780887281 | NPI | - | NPPES |
008002457 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 009701 (Connecticut) | Primary |
Entity Name | Connecticut Oral & Maxillofacial Surgery Centers, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083818710 PECOS PAC ID: 4486568409 Enrollment ID: O20031114000146 |
Mailing Address | Practice Location Address |
---|---|
Dr Susan Lee, DDS 323 Main Street, West Haven, CT 06516-1638 Ph: (203) 937-7181 | Dr Susan Lee, DDS 323 Main St, West Haven, CT 06516-4424 Ph: (203) 937-7181 |
Dr. Lawrence Messina, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 141 Captain Thomas Blvd, West Haven, CT 06516 Phone: 203-932-3675 Fax: 203-934-9701 | |
Maksim Serebro, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 910 Boston Post Rd, West Haven, CT 06516 Phone: 203-934-3400 | |
Chi Hyun Cho, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 666 Campbell Ave, West Haven, CT 06516 Phone: 203-889-2611 Fax: 203-823-9072 | |
Dr. Jason Tartagni, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 369 Main St, West Haven, CT 06516 Phone: 203-931-3052 | |
Richmond Hung, Dentist Medicare: Medicare Enrolled Practice Location: 655 Sawmill Rd, West Haven, CT 06516 Phone: 203-932-5818 Fax: 203-933-6432 | |
Dr. Raman Gill, DDS Dentist Medicare: Medicare Enrolled Practice Location: 145 Boston Post Rd, West Haven, CT 06516 Phone: 203-889-0278 | |
Michael R Margolies, Dentist Medicare: Medicare Enrolled Practice Location: 655 Saw Mill Rd, West Haven, CT 06516 Phone: 203-932-5818 Fax: 203-933-6432 |