| Mathews Family Dental Center Pc | |
|
99 E Center St Manchester CT 06040-5250 | |
| (860) 646-1360 | |
| (860) 646-2850 |
| Full Name | Mathews Family Dental Center Pc |
|---|---|
| Speciality | Dentist |
| Location | 99 E Center St, Manchester, Connecticut |
| Authorized Official Name and Position | Shari N Mathew (DENTIST) |
| Authorized Official Contact | 8606461360 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mathews Family Dental Center Pc 99 E Center St Manchester CT 06040-5250 Ph: (860) 646-1360 | Mathews Family Dental Center Pc 99 E Center St Manchester CT 06040-5250 Ph: (860) 646-1360 |
| NPI Number | 1992117725 |
|---|---|
| Provider Enumeration Date | 05/28/2014 |
| Last Update Date | 03/07/2016 |
| Medicare PECOS PAC ID | 1153612395 |
|---|---|
| Medicare Enrollment ID | O20191111001415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992117725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9298 (Connecticut) | Primary |
| Provider Name | Shari N Mathew |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1831196948 PECOS PAC ID: 7517256571 Enrollment ID: I20191111002045 |
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