| Lafayette Dental Group, Pc | |
|
67 Lafayette St Norwich CT 06360-3407 | |
| (860) 889-5213 | |
| (860) 886-0100 |
| Full Name | Lafayette Dental Group, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 67 Lafayette St, Norwich, Connecticut |
| Authorized Official Name and Position | David S Richardson (PRESIDENT) |
| Authorized Official Contact | 8608895213 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lafayette Dental Group, Pc 200 Woodland St South Glastonbury CT 06073-2717 Ph: (860) 659-3450 | Lafayette Dental Group, Pc 67 Lafayette St Norwich CT 06360-3407 Ph: (860) 889-5213 |
| NPI Number | 1699811075 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699811075 | NPI | - | NPPES |
| 1548343858 | Other | NPI NUMBER ISSUED | |
| 1651844 | Other | UNITED CONCORDIA | |
| 020007568CT03 | Other | CT | ANTHEM BCBS CT |
| 1904629 | Other | UNITED CONCORDIA | |
| 020009345CT02 | Other | CT | ANTHEM BCBS CT |
| 815896 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7568 (Connecticut) | Primary |
| 1223G0001X | Dentist - General Practice | 9345 (Connecticut) | Secondary |
Daniel W. Tracy, Iii D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Fanning Ave, Norwich, CT 06360 Phone: 860-892-4996 | |
Family Orthodontic Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Sherman St, Norwich, CT 06360 Phone: 860-886-1466 Fax: 860-886-1163 | |
Mohan & Virani Dds, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Fanning Ave, Norwich, CT 06360 Phone: 860-892-4996 | |
Norwich Oral & Maxillofacial Surgeons, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 New London Tpke, Norwich, CT 06360 Phone: 860-886-0651 Fax: 860-823-1577 | |
Eastern Connecticut Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 Lafayette St, Norwich, CT 06360 Phone: 860-889-3638 Fax: 860-204-9571 | |
Norwich Family Dental Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Lafayette St, Norwich, CT 06360 Phone: 860-886-2497 Fax: 860-886-6591 | |
Hi Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 598 W Main St, Unit 3, Norwich, CT 06360 Phone: 917-334-3544 |