| Mcm Dental, Llc | |
|
74 Main Street Lakewood CT 06451 | |
| (203) 235-0121 | |
| (203) 235-6337 |
| Full Name | Mcm Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 74 Main Street, Lakewood, Connecticut |
| Authorized Official Name and Position | Maxwell Boatey (OWNER) |
| Authorized Official Contact | 2032350121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcm Dental, Llc 74 Main St Meriden CT 06451-5119 Ph: (203) 235-0121 | Mcm Dental, Llc 74 Main Street Lakewood CT 06451 Ph: (203) 235-0121 |
| NPI Number | 1235599333 |
|---|---|
| Provider Enumeration Date | 03/02/2016 |
| Last Update Date | 03/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235599333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11072 (Connecticut) | Primary |