Richard J. Fairbrother, Dmd, Llc | |
69 South Main St West Hartford CT 06107-2410 | |
(860) 232-2000 | |
(860) 233-8842 |
Full Name | Richard J. Fairbrother, Dmd, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 69 South Main St, West Hartford, Connecticut |
Authorized Official Name and Position | Virginia C Fairbrother (PRACTICE MANAGER) |
Authorized Official Contact | 8602322000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Richard J. Fairbrother, Dmd, Llc 69 South Main St West Hartford CT 06107-2410 Ph: (860) 232-2000 | Richard J. Fairbrother, Dmd, Llc 69 South Main St West Hartford CT 06107-2410 Ph: (860) 232-2000 |
NPI Number | 1376684886 |
---|---|
Provider Enumeration Date | 02/08/2007 |
Last Update Date | 02/05/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376684886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 005785 (Connecticut) | Secondary |
1223G0001X | Dentist - General Practice | 003683 (Connecticut) | Primary |
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