New England Endodontics PC

NPI #1407572605 in Manchester, Connecticut

Provider Information

NPI Number
1407572605
Entity Type
Organization
Organization Name
New England Endodontics PC
Subpart
Yes (part of a larger organization)
Parent Organization
NEW ENGLAND ENDODONTICS PC
Primary Specialty
Dentist - Endodontics
Enumeration Date
Oct 18, 2022
Last Updated
Oct 18, 2022

Practice Location

Address
360 TOLLAND TPKE STE 2A
ZIP Code
06042-1770
Phone
(860) 646-4811

Authorized Official

Name
LEAH ANN MAYLOTT
Title
CREDENTIALING ADMINISTRATOR
Phone
(860) 874-8198

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics
Dentist - EndodonticsEndodontics

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