| Southbury Smiles | |
|
2 Pomperaug Office Park Ste 304 Southbury CT 06488-2288 | |
| (203) 264-1620 | |
| Not Available |
| Full Name | Southbury Smiles |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 2 Pomperaug Office Park Ste 304, Southbury, Connecticut |
| Authorized Official Name and Position | Michelle Na (OWNER) |
| Authorized Official Contact | 2032641620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southbury Smiles 2 Pomperaug Office Park Ste 304 Southbury CT 06488-2288 Ph: (203) 264-1620 | Southbury Smiles 2 Pomperaug Office Park Ste 304 Southbury CT 06488-2288 Ph: (203) 264-1620 |
| NPI Number | 1336570357 |
|---|---|
| Provider Enumeration Date | 12/01/2013 |
| Last Update Date | 03/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336570357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | (* (Not Available)) | Primary |
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