| Healthdrive Dental Group | |
|
101 Centerpoint Dr Ste 215 Middletown CT 06457-7568 | |
| (888) 964-6681 | |
| (888) 662-0859 |
| Full Name | Healthdrive Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Centerpoint Dr Ste 215, Middletown, Connecticut |
| Authorized Official Name and Position | Alec H. Jaret (OWNER/PRESIDENT) |
| Authorized Official Contact | 6179646681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthdrive Dental Group 100 Crossing Blvd Suite 300 Framingham MA 01702-5555 Ph: (617) 964-6681 | Healthdrive Dental Group 101 Centerpoint Dr Ste 215 Middletown CT 06457-7568 Ph: (888) 964-6681 |
| NPI Number | 1659302065 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 12/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659302065 | NPI | - | NPPES |
| 004224896 | Medicaid | CT | |
| 004124674 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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