| My Enfield Dentist, Llc | |
|
44 S Main St Ste 14 East Windsor CT 06088-1702 | |
| (860) 254-6955 | |
| (860) 254-6956 |
| Full Name | My Enfield Dentist, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44 S Main St Ste 14, East Windsor, Connecticut |
| Authorized Official Name and Position | Rakesh Kumar (MANAGER) |
| Authorized Official Contact | 8602546955 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| My Enfield Dentist, Llc 44 S Main St Ste 14 East Windsor CT 06088-1702 Ph: (860) 254-6955 | My Enfield Dentist, Llc 44 S Main St Ste 14 East Windsor CT 06088-1702 Ph: (860) 254-6955 |
| NPI Number | 1790004885 |
|---|---|
| Provider Enumeration Date | 05/27/2010 |
| Last Update Date | 07/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790004885 | NPI | - | NPPES |
| 008017210 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 010189 (Connecticut) | Primary |
Dasilva Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 North Rd, East Windsor, CT 06088 Phone: 860-627-5232 | |
Smiles In Bloom Pediatric Dentsitry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Prospect Hill Rd, East Windsor, CT 06088 Phone: 860-254-5840 Fax: 860-254-5830 |