| Spadola & Vincent Dmd | |
|
415 Highland Avenue Suite 3 Cheshire CT 06410 | |
| (203) 272-9694 | |
| (203) 272-1927 |
| Full Name | Spadola & Vincent Dmd |
|---|---|
| Speciality | Dentist |
| Location | 415 Highland Avenue, Cheshire, Connecticut |
| Authorized Official Name and Position | Carl J Spadola (OWNER DENTIST) |
| Authorized Official Contact | 2032729694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spadola & Vincent Dmd 415 Highland Avenue Suite 3 Cheshire CT 06410 Ph: (203) 272-9694 | Spadola & Vincent Dmd 415 Highland Avenue Suite 3 Cheshire CT 06410 Ph: (203) 272-9694 |
| NPI Number | 1972511772 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 12/31/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972511772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 6052 (Connecticut) | Primary |
| 122300000X | Dentist | 9505 (Connecticut) | Secondary |
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