| Sph3enterprise, Llc | |
|
194 Buckland Hills Drive Manchester CT 06042 | |
| (860) 644-0099 | |
| (860) 644-0109 |
| Full Name | Sph3enterprise, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 194 Buckland Hills Drive, Manchester, Connecticut |
| Authorized Official Name and Position | Andre Lavoie (OFFICE MANAGER) |
| Authorized Official Contact | 8606440099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sph3enterprise, Llc 194 Buckland Hills Dr Manchester CT 06042-8705 Ph: (860) 644-0099 | Sph3enterprise, Llc 194 Buckland Hills Drive Manchester CT 06042 Ph: (860) 644-0099 |
| NPI Number | 1053727479 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 07/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053727479 | NPI | - | NPPES |
| 1467611632 | Medicaid | CT | |
| 1972893352 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 010954 (Connecticut) | Primary |
Gil D. Boisoneau, D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 229 E Center St, Manchester, CT 06040 Phone: 860-643-0688 Fax: 860-432-8495 | |
Dr. Dental Of Manchester, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 240 Spencer St, Manchester, CT 06040 Phone: 617-823-2111 | |
Columbia Oral Maxillofacial Imaging Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 483 Middle Tpke W, Manchester, CT 06040 Phone: 860-645-0111 | |
Sph3 Enterprise Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 194 Buckland Hills Dr, Suite 1076, Manchester, CT 06042 Phone: 860-644-0099 | |
Prindiville, Peracchio & Saunders, Dmd Pc Dental Clinic Medicare: Medicare Enrolled Practice Location: 945 Main St, Suite 310, Manchester, CT 06040 Phone: 860-647-9926 Fax: 860-645-7723 | |
Manchester Smiles Family And Implant Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 168 Spencer St, Manchester, CT 06040 Phone: 860-649-2796 |