| Candlewood Gentle Dental | |
|
100 State Route 37 Ste 104 New Fairfield CT 06812-4024 | |
| (203) 746-2459 | |
| Not Available |
| Full Name | Candlewood Gentle Dental |
|---|---|
| Speciality | Dentist |
| Location | 100 State Route 37 Ste 104, New Fairfield, Connecticut |
| Authorized Official Name and Position | Kenneth Scott Sangiacomo (OWNER) |
| Authorized Official Contact | 2037462459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Candlewood Gentle Dental 100 State Route 37 Ste 104 New Fairfield CT 06812-4024 Ph: (203) 746-2459 | Candlewood Gentle Dental 100 State Route 37 Ste 104 New Fairfield CT 06812-4024 Ph: (203) 746-2459 |
| NPI Number | 1003332487 |
|---|---|
| Provider Enumeration Date | 08/17/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003332487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Candlewood Dental Care Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 87 State Route 39, New Fairfield, CT 06812 Phone: 203-746-1200 Fax: 203-746-2315 | |
Connecticut Dental Arts Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 State Route 37, New Fairfield, CT 06812 Phone: 203-746-2459 Fax: 203-746-2450 |