| Professional Dental Alliance Of Northford, Pllc | |
|
1355 Middletown Ave Northford CT 06472-1382 | |
| (203) 484-0456 | |
| Not Available |
| Full Name | Professional Dental Alliance Of Northford, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1355 Middletown Ave, Northford, Connecticut |
| Authorized Official Name and Position | Andrew Matta (CMO/OWNER) |
| Authorized Official Contact | 7246982500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Dental Alliance Of Northford, Pllc 11 S Mill St Ste 200 New Castle PA 16101-3680 Ph: (724) 698-2500 | Professional Dental Alliance Of Northford, Pllc 1355 Middletown Ave Northford CT 06472-1382 Ph: (203) 484-0456 |
| NPI Number | 1811488356 |
|---|---|
| Provider Enumeration Date | 05/21/2018 |
| Last Update Date | 05/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811488356 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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