| Advanced Dental Of Cromwell Llc | |
|
26 Shunpike Rd Ste A Cromwell CT 06416-2442 | |
| (860) 894-2933 | |
| (860) 828-1610 |
| Full Name | Advanced Dental Of Cromwell Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 26 Shunpike Rd Ste A, Cromwell, Connecticut |
| Authorized Official Name and Position | Michael Maroon (MANAGING MEMBER/OWNER) |
| Authorized Official Contact | 8608942933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Of Cromwell Llc 26 Shunpike Rd Ste A Cromwell CT 06416-2442 Ph: (860) 894-2933 | Advanced Dental Of Cromwell Llc 26 Shunpike Rd Ste A Cromwell CT 06416-2442 Ph: (860) 894-2933 |
| NPI Number | 1265942676 |
|---|---|
| Provider Enumeration Date | 10/11/2017 |
| Last Update Date | 07/18/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265942676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | CT006968 (Connecticut) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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