Dr William E Dedominicis, DDS is a medicare enrolled "Dentist - General Practice" provider in West Simsbury, Connecticut. His current practice location is
240 Farms Village Rd, West Simsbury, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 651-3541.
Dr William E Dedominicis is licensed to practice in Connecticut (license number 4308) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053456137.
Healthcare Provider's Profile
Full Name | Dr William E Dedominicis |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 240 Farms Village Rd, West Simsbury, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053456137
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4385960061
- Enrollment ID: I20150225000697
Medical Identifiers
Medical identifiers for Dr William E Dedominicis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053456137 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4308 (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 William E Dedominicis is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr William E Dedominicis, DDS Po Box 266, 240 Farms Village Rd, West Simsbury, CT 06092-0266 Ph: (860) 651-3541 | Dr William E Dedominicis, DDS 240 Farms Village Rd, West Simsbury, CT 06092-0266 Ph: (860) 651-3541 |
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