| Advanced Dental Of New England Llc | |
|
39 Webster Square Rd Berlin CT 06037-2326 | |
| (860) 828-3933 | |
| (860) 828-1610 |
| Full Name | Advanced Dental Of New England Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 39 Webster Square Rd, Berlin, Connecticut |
| Authorized Official Name and Position | Michael Maroon (ONWER/MANAGING MEMBER) |
| Authorized Official Contact | 8608283933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Dental Of New England Llc 39 Webster Square Rd Berlin CT 06037-2326 Ph: (860) 828-3933 | Advanced Dental Of New England Llc 39 Webster Square Rd Berlin CT 06037-2326 Ph: (860) 828-3933 |
| NPI Number | 1831219021 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 07/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831219021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | CT6968 (Connecticut) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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