Canton Valley Dental Llc is a dental clinic (Dentist - General Practice) in Canton, Connecticut. The current practice location for Canton Valley Dental Llc is 191 Albany Tpke, Canton, Connecticut. For appointments, you can reach them via phone at
(860) 693-0887. The mailing address for Canton Valley Dental Llc is Po Box 456, Canton, Connecticut and phone number is (860) 693-0887.
Canton Valley Dental Llc is licensed to practice in Connecticut (license number 9636) and its
NPI number is 1154560118. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(860) 693-0887.
Dental Care Clinic Profile
| Full Name | Canton Valley Dental Llc |
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| Speciality | Dentist - General Practice |
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| Location | 191 Albany Tpke, Canton, Connecticut |
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| Authorized Official Name and Position | Matthew Keefe (DENTIST/PARTNER) |
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| Authorized Official Contact | 8606930887 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Canton Valley Dental Llc
Po Box 456
Canton
CT 06019-0456
Ph: (860) 693-0887 | Canton Valley Dental Llc
191 Albany Tpke
Canton
CT 06019-2554
Ph: (860) 693-0887 |
NPI Details:
| NPI Number | 1154560118 |
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| Provider Enumeration Date | 02/16/2009 |
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| Last Update Date | 09/09/2021 |
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Medical Identifiers
Medical identifiers for Canton Valley Dental Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154560118 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 9636 (Connecticut) | Primary |
| 1223G0001X | Dentist - General Practice | 8462 (Connecticut) | Secondary |
| 1223G0001X | Dentist - General Practice | 5137 (Connecticut) | Secondary |
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