Collin B Sanford, DMD in Avon, CT - Medicare Dentist Provider

Collin B Sanford, DMD is a medicare enrolled "Dentist - General Practice" provider in Avon, Connecticut. His current practice location is 44 Dale Rd, Avon, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 677-6405.

Collin B Sanford is licensed to practice in Connecticut (license number 020005127) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124029665.

Contact Information

	Collin B Sanford, DMD
	44 Dale Rd, Avon, CT 06001-3612
	(860) 677-6405
	(860) 677-1189

Healthcare Provider's Profile

Full Name	Collin B Sanford
Gender	Male
Speciality	Dentist - General Practice
Location	44 Dale Rd, Avon, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124029665
Provider Enumeration Date: 08/09/2005
Last Update Date: 02/24/2016

Medicare PECOS Information:

PECOS PAC ID: 5799083671
Enrollment ID: I20160408000834

Medical Identifiers

Medical identifiers for Collin B Sanford such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124029665	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	020005127 (Connecticut)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Collin B Sanford is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Collin B Sanford, DMD 44 Dale Rd, Avon, CT 06001-3676 Ph: (860) 677-6405	Collin B Sanford, DMD 44 Dale Rd, Avon, CT 06001-3612 Ph: (860) 677-6405

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Dentist in Avon, CT

Dr. Robert Hotchkiss Breckinridge Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 W Avon Rd, Avon, CT 06001 Phone: 860-673-0451
Dr. Frank Paul Lombardi Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 W Avon Rd, Avon, CT 06001 Phone: 860-673-0451 Fax: 860-673-6784
Dr. Gerard Francis Graham, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 Simsbury Rd, Suite 201, Avon, CT 06001 Phone: 860-606-0066 Fax: 860-606-0071
Dr. Gregory J Solof, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 20 W Avon Rd, Avon, CT 06001 Phone: 860-675-3789 Fax: 860-673-6784
A. Liam Doran, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 44 Dale Rd, Avon, CT 06001 Phone: 860-677-6405 Fax: 860-677-1189
Dr. Lauren Mentasti, DMD, MPH Dentist Medicare: Not Enrolled in Medicare Practice Location: 32 E Main St, Avon, CT 06001 Phone: 860-678-1140

Collin B Sanford, DMD - Medicare Dentist in Avon, CT