| Premier Dental P C | |
|
727 Broad St Meriden CT 06450-4341 | |
| (203) 235-1415 | |
| Not Available |
| Full Name | Premier Dental P C |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 727 Broad St, Meriden, Connecticut |
| Authorized Official Name and Position | Polina P Simanovich (DENTIST/PROSTHODONTIST) |
| Authorized Official Contact | 2032351415 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Dental P C 727 Broad St Meriden CT 06450-4341 Ph: () - | Premier Dental P C 727 Broad St Meriden CT 06450-4341 Ph: (203) 235-1415 |
| NPI Number | 1710394903 |
|---|---|
| Provider Enumeration Date | 07/19/2014 |
| Last Update Date | 05/03/2023 |
| Medicare PECOS PAC ID | 9830526847 |
|---|---|
| Medicare Enrollment ID | O20200303001088 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710394903 | NPI | - | NPPES |
| 7807300001 | Other | CT | PTAN MEDICARE NSC |
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