Advanced Dental Of New England Llc | |
39 Webster Square Rd Berlin CT 06037-2326 | |
(860) 828-3933 | |
(860) 828-1610 |
Full Name | Advanced Dental Of New England Llc |
---|---|
Speciality | Dentist - Prosthodontics |
Location | 39 Webster Square Rd, Berlin, Connecticut |
Authorized Official Name and Position | Michael Maroon (ONWER/MANAGING MEMBER) |
Authorized Official Contact | 8608283933 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advanced Dental Of New England Llc 39 Webster Square Rd Berlin CT 06037-2326 Ph: (860) 828-3933 | Advanced Dental Of New England Llc 39 Webster Square Rd Berlin CT 06037-2326 Ph: (860) 828-3933 |
NPI Number | 1831219021 |
---|---|
Provider Enumeration Date | 03/30/2007 |
Last Update Date | 07/22/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831219021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0700X | Dentist - Prosthodontics | CT6968 (Connecticut) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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