| Modern Dentistry Of Orange | |
|
240 Indian River Rd Ste A8 Orange CT 06477-3690 | |
| (203) 763-1145 | |
| (203) 763-1139 |
| Full Name | Modern Dentistry Of Orange |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 240 Indian River Rd Ste A8, Orange, Connecticut |
| Authorized Official Name and Position | Christian Brockenberry (MEMBER) |
| Authorized Official Contact | 2037631145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Dentistry Of Orange 240 Indian River Rd Ste A8 Orange CT 06477-3690 Ph: (203) 763-1145 | Modern Dentistry Of Orange 240 Indian River Rd Ste A8 Orange CT 06477-3690 Ph: (203) 763-1145 |
| NPI Number | 1497630834 |
|---|---|
| Provider Enumeration Date | 08/06/2025 |
| Last Update Date | 08/06/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497630834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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