| Dynobite Smiles Llc | |
|
765 Straits Tpke Middlebury CT 06762-2853 | |
| (203) 577-3500 | |
| (203) 577-3600 |
| Full Name | Dynobite Smiles Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 765 Straits Tpke, Middlebury, Connecticut |
| Authorized Official Name and Position | Raven Vanessa Henderson (OWNER/DENTIST) |
| Authorized Official Contact | 2035773500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynobite Smiles Llc 765 Straits Tpke Middlebury CT 06762-2853 Ph: (203) 577-3500 | Dynobite Smiles Llc 765 Straits Tpke Middlebury CT 06762-2853 Ph: (203) 577-3500 |
| NPI Number | 1487099172 |
|---|---|
| Provider Enumeration Date | 05/08/2013 |
| Last Update Date | 05/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487099172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 009463 (Connecticut) | Primary |
Dr Mandava Dds Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Middlebury Rd, Middlebury, CT 06762 Phone: 203-758-2116 Fax: 203-758-9522 | |
Dynobite Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 765 Straits Tpke, Dynobite Smiles, Middlebury, CT 06762 Phone: 203-577-3500 Fax: 203-577-3600 | |
Richard N. Smith, Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 415 Middlebury Rd, Middlebury, CT 06762 Phone: 203-758-2116 Fax: 203-758-9522 |