| Connecticut Dental Professionals, P.c. | |
|
410 Saybrook Rd Ste 202 Middletown CT 06457-4777 | |
| (860) 451-5775 | |
| Not Available |
| Full Name | Connecticut Dental Professionals, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 410 Saybrook Rd Ste 202, Middletown, Connecticut |
| Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Dental Professionals, P.c. 410 Saybrook Rd Ste 202 Middletown CT 06457-4777 Ph: () - | Connecticut Dental Professionals, P.c. 410 Saybrook Rd Ste 202 Middletown CT 06457-4777 Ph: (860) 451-5775 |
| NPI Number | 1326645334 |
|---|---|
| Provider Enumeration Date | 10/02/2020 |
| Last Update Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326645334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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