| Tiny Teeth General Dentistry Llc | |
|
710 King St Bristol CT 06010-4477 | |
| (860) 583-8469 | |
| (860) 583-8470 |
| Full Name | Tiny Teeth General Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 710 King St, Bristol, Connecticut |
| Authorized Official Name and Position | Jamie Motyka (OWNER) |
| Authorized Official Contact | 8605838469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tiny Teeth General Dentistry Llc 710 King St Bristol CT 06010-4477 Ph: (860) 583-8469 | Tiny Teeth General Dentistry Llc 710 King St Bristol CT 06010-4477 Ph: (860) 583-8469 |
| NPI Number | 1831415405 |
|---|---|
| Provider Enumeration Date | 04/08/2010 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831415405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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