| Mystic Westerly Orthodontics, Pc | |
|
117 Cow Hill Rd Mystic CT 06355-1449 | |
| (860) 536-9661 | |
| Not Available |
| Full Name | Mystic Westerly Orthodontics, Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 117 Cow Hill Rd, Mystic, Connecticut |
| Authorized Official Name and Position | Jeffrey Todd Kozlowski (PRESIDENT) |
| Authorized Official Contact | 8604424421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mystic Westerly Orthodontics, Pc 117 Cow Hill Rd Mystic CT 06355-1449 Ph: (860) 536-9661 | Mystic Westerly Orthodontics, Pc 117 Cow Hill Rd Mystic CT 06355-1449 Ph: (860) 536-9661 |
| NPI Number | 1174933162 |
|---|---|
| Provider Enumeration Date | 04/30/2014 |
| Last Update Date | 04/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174933162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8376 (Connecticut) | Primary |
Mystic Dental Group, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 Cow Hill Rd, Mystic, CT 06355 Phone: 860-536-4951 | |
Dr. Sally Vail & Dr. Linda Robson, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 64 Washington St, Mystic, CT 06355 Phone: 860-536-7100 | |
James P. Watts, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Denison Ave, Mystic, CT 06355 Phone: 860-536-6446 |