Wolcott Street Dental-2, PC
NPI #1477878973 in Hartford, Connecticut
Provider Information
- NPI Number
- 1477878973
- Entity Type
- Organization
- Organization Name
- Wolcott Street Dental-2, PC
- Primary Specialty
- Dentist
- Enumeration Date
- Mar 29, 2010
- Last Updated
- Aug 19, 2022
Practice Location
- Address
- 1888 MAIN ST
- City
- Hartford
- State
- Connecticut
- ZIP Code
- 06120-2357
- Phone
- (800) 920-9947
Authorized Official
- Name
- MICHELLE JACOMINO
- Title
- DIRECTOR OF PAYOR RELATIONS
- Phone
- (770) 916-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
| Dentist - Endodontics — Endodontics |
| Dentist - General Practice — General Practice |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist |
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