Connecticut Dental Groups

NPI #1457420770 in Groton, Connecticut

Provider Information

NPI Number: 1457420770
Entity Type: Organization
Organization Name: Connecticut Dental Groups
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 8, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1100 POQUONNOCK RD
City: Groton
State: Connecticut
ZIP Code: 06340
Phone: (860) 445-9765

Authorized Official

Name: MS. NICOLINA SOUCY
Title: GENERAL MANAGER
Phone: (860) 456-3153

Specialties & Taxonomy Codes

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

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