Western Mass Periodontics Pc | |
75 Berlin Rd Ste 108 Cromwell CT 06416-2633 | |
(860) 635-1515 | |
Not Available |
Full Name | Western Mass Periodontics Pc |
---|---|
Speciality | Dentist - Periodontics |
Location | 75 Berlin Rd Ste 108, Cromwell, Connecticut |
Authorized Official Name and Position | Leah Ann Maylott (CREDENTIALING ADMINISTRATOR) |
Authorized Official Contact | 8608748198 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Western Mass Periodontics Pc 65 Elm St Worcester MA 01609-2547 Ph: (860) 874-8198 | Western Mass Periodontics Pc 75 Berlin Rd Ste 108 Cromwell CT 06416-2633 Ph: (860) 635-1515 |
NPI Number | 1952052235 |
---|---|
Provider Enumeration Date | 01/18/2022 |
Last Update Date | 01/18/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952052235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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