| Windham Dental Group | |
|
1671 W Main St Willimantic CT 06226 | |
| (860) 456-3153 | |
| (860) 456-8759 |
| Full Name | Windham Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1671 W Main St, Willimantic, Connecticut |
| Authorized Official Name and Position | Nicolina Soucy (GENERAL MANAGER) |
| Authorized Official Contact | 8604563153 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Windham Dental Group 1671 W Main St Willimantic CT 06226 Ph: (860) 456-3153 | Windham Dental Group 1671 W Main St Willimantic CT 06226 Ph: (860) 456-3153 |
| NPI Number | 1548339864 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548339864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | () | Primary |
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