Rajesh Lalla, DDS | |
263 Farmington Ave, Oral Medicine, Farmington, CT 06030-0001 | |
(860) 679-2952 | |
(860) 679-4760 |
Full Name | Rajesh Lalla |
---|---|
Gender | Male |
Speciality | Dentist |
Location | 263 Farmington Ave, Farmington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326044348 | NPI | - | NPPES |
002088319 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 008831 (Connecticut) | Secondary |
122300000X | Dentist | 008831 (Connecticut) | Primary |
Entity Name | University Of Connecticut Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
Entity Name | University Dentists |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922029768 PECOS PAC ID: 6800167172 Enrollment ID: O20170804000071 |
Mailing Address | Practice Location Address |
---|---|
Rajesh Lalla, DDS 263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212 Ph: (860) 679-7503 | Rajesh Lalla, DDS 263 Farmington Ave, Oral Medicine, Farmington, CT 06030-0001 Ph: (860) 679-2952 |
Dr. Luis Chavez De Paz, DDS, MS, PHD Dentist Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2719 | |
Dr. Alan G Lurie, DDS Dentist Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, Uconn Health Center Mc2110, Farmington, CT 06030 Phone: 860-679-2453 Fax: 860-679-2756 | |
Douglas E Peterson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2952 Fax: 860-679-4760 | |
John R. Agar, DDS Dentist Medicare: Medicare Enrolled Practice Location: John Dempsey Hospital, 263 Farminton Avenue, Mc-1615, Farmington, CT 06030 Phone: 860-679-2649 | |
Sumit Yadav, DDS Dentist Medicare: Medicare Enrolled Practice Location: 263 Farmington Ave, L 7063, Farmington, CT 06030 Phone: 860-679-2664 Fax: 860-679-1920 | |
Dr. Grethel Millington, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Department Of Prosthodontics, Farmington, CT 06032 Phone: 869-679-7600 | |
Pranav Kataria, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2000 |