| Housatonic Valley Dental Care | |
|
60 Church Street Canaan CT 06018 | |
| (860) 559-2664 | |
| Not Available |
| Full Name | Housatonic Valley Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 60 Church Street, Canaan, Connecticut |
| Authorized Official Name and Position | John Dannon (PRESIDENT) |
| Authorized Official Contact | 8605592664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Housatonic Valley Dental Care 60 Church St Canaan CT 06018-2481 Ph: () - | Housatonic Valley Dental Care 60 Church Street Canaan CT 06018 Ph: (860) 559-2664 |
| NPI Number | 1023423399 |
|---|---|
| Provider Enumeration Date | 06/25/2014 |
| Last Update Date | 06/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023423399 | NPI | - | NPPES |
| 008032193 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 10357 (Connecticut) | Primary |