| New Haven Dental Group | |
|
195 Montowese St Branford CT 06405-3824 | |
| (203) 488-0091 | |
| (203) 781-8051 |
| Full Name | New Haven Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 195 Montowese St, Branford, Connecticut |
| Authorized Official Name and Position | Gregory Gibson (ADMINISTRATOR) |
| Authorized Official Contact | 2037818051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Haven Dental Group 195 Montowese St Branford CT 06405-3824 Ph: (203) 488-0091 | New Haven Dental Group 195 Montowese St Branford CT 06405-3824 Ph: (203) 488-0091 |
| NPI Number | 1205976123 |
|---|---|
| Provider Enumeration Date | 02/08/2007 |
| Last Update Date | 06/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205976123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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