Western Mass Periodontics Pc - Dental Clinic in Avon, CT

Western Mass Periodontics Pc is a dental clinic (Dentist - Periodontics) in Avon, Connecticut. The current practice location for Western Mass Periodontics Pc is 20 W Avon Rd Ste 101, Avon, Connecticut. For appointments, you can reach them via phone at (860) 673-0451. The mailing address for Western Mass Periodontics Pc is 65 Elm St, Worcester, Massachusetts and phone number is () -.

Western Mass Periodontics Pc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1467085407. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (860) 673-0451.

Contact Information

Western Mass Periodontics Pc
20 W Avon Rd Ste 101
Avon
CT 06001-3677
(860) 673-0451
Not Available

Dental Care Clinic Profile

Full NameWestern Mass Periodontics Pc
SpecialityDentist - Periodontics
Location20 W Avon Rd Ste 101, Avon, Connecticut
Authorized Official Name and PositionLeah Ann Maylott (CREDENTIALING ADMINISTRATOR)
Authorized Official Contact8608748198
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Western Mass Periodontics Pc
65 Elm St
Worcester
MA 01609-2547

Ph: () -
Western Mass Periodontics Pc
20 W Avon Rd Ste 101
Avon
CT 06001-3677

Ph: (860) 673-0451

NPI Details:

NPI Number1467085407
Provider Enumeration Date02/18/2020
Last Update Date01/18/2022

Medical Identifiers

Medical identifiers for Western Mass Periodontics Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467085407NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0300XDentist - Periodontics (* (Not Available))Primary

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