| Above And Beyond Dental Group | |
|
30 Norwich Rd Quaker Hill CT 06375-1147 | |
| (860) 912-7841 | |
| Not Available |
| Full Name | Above And Beyond Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 30 Norwich Rd, Quaker Hill, Connecticut |
| Authorized Official Name and Position | Angelina Blankschen (ADMINISTRATOR) |
| Authorized Official Contact | 8609970569 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Above And Beyond Dental Group 339 Flanders Rd Ste 106 East Lyme CT 06333-1729 Ph: (860) 912-7841 | Above And Beyond Dental Group 30 Norwich Rd Quaker Hill CT 06375-1147 Ph: (860) 912-7841 |
| NPI Number | 1184285611 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184285611 | NPI | - | NPPES |
| 7928 | Other | CT | STATE OF CONNECTICUT DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |