Fairfield Dental Care | |
267 Center St West Haven CT 06516-4405 | |
(203) 932-3700 | |
(475) 238-8291 |
Full Name | Fairfield Dental Care |
---|---|
Speciality | Dentist - General Practice |
Location | 267 Center St, West Haven, Connecticut |
Authorized Official Name and Position | Glen Hacker (OWNER) |
Authorized Official Contact | 2039323700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fairfield Dental Care 267 Center St West Haven CT 06516-4405 Ph: (203) 932-3700 | Fairfield Dental Care 267 Center St West Haven CT 06516-4405 Ph: (203) 932-3700 |
NPI Number | 1316233182 |
---|---|
Provider Enumeration Date | 06/21/2011 |
Last Update Date | 06/21/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316233182 | NPI | - | NPPES |
1871668053 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 7148 (Connecticut) | Primary |
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