| Connecticut Dental Partners, Llc | |
|
240 Pomeroy Ave Suite 205 Meriden CT 06450-7170 | |
| (203) 314-9493 | |
| (203) 200-7953 |
| Full Name | Connecticut Dental Partners, Llc |
|---|---|
| Speciality | Dentist |
| Location | 240 Pomeroy Ave, Meriden, Connecticut |
| Authorized Official Name and Position | Rosa Brunelle (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2033149493 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Dental Partners, Llc 240 Pomeroy Ave Suite 205 Meriden CT 06450-7170 Ph: (203) 314-9493 | Connecticut Dental Partners, Llc 240 Pomeroy Ave Suite 205 Meriden CT 06450-7170 Ph: (203) 314-9493 |
| NPI Number | 1164803037 |
|---|---|
| Provider Enumeration Date | 06/16/2015 |
| Last Update Date | 04/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164803037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 011373 (Connecticut) | Primary |
| 124Q00000X | Dental Hygienist | 003881 (Connecticut) | Secondary |
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