| Jack D Berns Dds & Anthony T Dioguardi Dmd | |
|
123 York St Suite 2j New Haven CT 06511-5614 | |
| (203) 777-2513 | |
| (203) 776-1714 |
| Full Name | Jack D Berns Dds & Anthony T Dioguardi Dmd |
|---|---|
| Speciality | Clinic/Center |
| Location | 123 York St, New Haven, Connecticut |
| Authorized Official Name and Position | Anthony T Dioguardi (PARTNER) |
| Authorized Official Contact | 2037772513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jack D Berns Dds & Anthony T Dioguardi Dmd 123 York St Suite 2j New Haven CT 06511-5614 Ph: (203) 777-2513 | Jack D Berns Dds & Anthony T Dioguardi Dmd 123 York St Suite 2j New Haven CT 06511-5614 Ph: (203) 777-2513 |
| NPI Number | 1063436574 |
|---|---|
| Provider Enumeration Date | 07/27/2006 |
| Last Update Date | 12/30/2013 |
| Medicare PECOS PAC ID | 7416185913 |
|---|---|
| Medicare Enrollment ID | O20140108000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063436574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6446 (Connecticut) | Primary |
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