| Northeast Dental Of Connecticut,pc | |
|
534 Shelton Ave Shelton CT 06484-2804 | |
| (732) 610-8265 | |
| Not Available |
| Full Name | Northeast Dental Of Connecticut,pc |
|---|---|
| Speciality | Dentist |
| Location | 534 Shelton Ave, Shelton, Connecticut |
| Authorized Official Name and Position | Virginia Wicke (COO) |
| Authorized Official Contact | 7326108265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Dental Of Connecticut,pc 115 W Century Rd Suite 300 Paramus NJ 07652-1450 Ph: (732) 610-8265 | Northeast Dental Of Connecticut,pc 534 Shelton Ave Shelton CT 06484-2804 Ph: (732) 610-8265 |
| NPI Number | 1619374881 |
|---|---|
| Provider Enumeration Date | 12/03/2014 |
| Last Update Date | 12/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619374881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8979 (Connecticut) | Primary |
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