| Old Greenwhich Dental Center Llc | |
|
182 Sound Beach Ave Old Greenwich CT 06870-1738 | |
| (917) 915-4504 | |
| Not Available |
| Full Name | Old Greenwhich Dental Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 182 Sound Beach Ave, Old Greenwich, Connecticut |
| Authorized Official Name and Position | David Janash (PRESIDENT AND CEO) |
| Authorized Official Contact | 9179154504 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Greenwhich Dental Center Llc 230 W 41st St Fl 2 New York NY 10036-7207 Ph: (917) 915-4504 | Old Greenwhich Dental Center Llc 182 Sound Beach Ave Old Greenwich CT 06870-1738 Ph: (917) 915-4504 |
| NPI Number | 1730657495 |
|---|---|
| Provider Enumeration Date | 11/10/2018 |
| Last Update Date | 11/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730657495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Dental Oral Surgery Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Boulder Ave, Old Greenwich, CT 06870 Phone: 203-990-3300 Fax: 212-202-6447 |