| Simsbury Pediatric & Adolescent Dentistry, Llc | |
|
381 Hopmeadow St Suite 202 Weatogue CT 06089-9692 | |
| (860) 658-7548 | |
| (860) 658-7516 |
| Full Name | Simsbury Pediatric & Adolescent Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 381 Hopmeadow St, Weatogue, Connecticut |
| Authorized Official Name and Position | Maryam Azadpur (DENTIST, OWNER) |
| Authorized Official Contact | 8606587548 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Simsbury Pediatric & Adolescent Dentistry, Llc 381 Hopmeadow St Suite 202 Weatogue CT 06089-9692 Ph: (860) 658-7548 | Simsbury Pediatric & Adolescent Dentistry, Llc 381 Hopmeadow St Suite 202 Weatogue CT 06089-9692 Ph: (860) 658-7548 |
| NPI Number | 1922122332 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922122332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 007907 (Connecticut) | Primary |