Suffield Village Dental
NPI #1164564761 in Suffield, Connecticut
Provider Information
- NPI Number
- 1164564761
- Entity Type
- Organization
- Organization Name
- Suffield Village Dental
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 215 SUFFIELD VLG
- City
- Suffield
- State
- Connecticut
- ZIP Code
- 06078-2122
- Phone
- (860) 668-4431
Authorized Official
- Name
- DR. LAWRENCE ALBERT, DDS
- Title
- PRESIDENT
- Phone
- (860) 668-4431
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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