The Dentist LLC

NPI #1043428683 in Newington, Connecticut

Provider Information

NPI Number: 1043428683
Entity Type: Organization
Organization Name: The Dentist LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: May 18, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 2434 BERLIN TPKE
City: Newington
State: Connecticut
ZIP Code: 06111-4121
Phone: (860) 667-8186

Authorized Official

Name: MS. PAM KENNEDY, MS
Title: OFFICE MANAGER
Phone: (860) 667-8186

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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