| Desiree Nicole Outlaw, DDS | |
|
94 Connecticut Blvd, East Hartford, CT 06108-3013 | |
| (860) 610-6348 | |
| Not Available |
| Full Name | Desiree Nicole Outlaw |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 94 Connecticut Blvd, East Hartford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538644471 | NPI | - | NPPES |
| 12817 | Other | CT | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 060129 (New York) | Secondary |
| 122300000X | Dentist | 12817 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Desiree Nicole Outlaw, DDS 22 Liberty Sq Apt 381, Bloomfield, CT 06002-5407 Ph: (301) 325-6412 | Desiree Nicole Outlaw, DDS 94 Connecticut Blvd, East Hartford, CT 06108-3013 Ph: (860) 610-6348 |
Dr. Michael Wernick, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 170 Main St, East Hartford, CT 06118 Phone: 860-568-3366 | |
Dr. Joanne Jones Mcfee, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 763 Burnside Ave, East Hartford, CT 06108 Phone: 860-291-9154 | |
Chiradip Kar, DDS Dentist Medicare: Medicare Enrolled Practice Location: 593 Burnside Ave, East Hartford, CT 06108 Phone: 646-812-2071 | |
Richard P Lasnier, DMD Dentist Medicare: Medicare Enrolled Practice Location: 477 Connecticut Blvd, Suite 201, East Hartford, CT 06108 Phone: 860-289-4080 Fax: 860-289-5400 | |
Dr. Robert Michael Grillo, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 47 Burnside Ave, East Hartford, CT 06108 Phone: 860-528-2194 Fax: 860-528-2195 | |
Dr. Jeffrey Dixon, DDS, M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 477 Connecticut Blvd Ste 105, East Hartford, CT 06108 Phone: 860-289-9397 Fax: 860-528-3129 | |
Dr. Jeffrey D Altman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 Main St, East Hartford, CT 06108 Phone: 860-528-3350 |