Connecticut Dental Professionals, P.c.
NPI #1811508062 in Mansfield Center, Connecticut
Provider Information
- NPI Number
- 1811508062
- Entity Type
- Organization
- Organization Name
- Connecticut Dental Professionals, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CONNECTICUT DENTAL PROFESSIONALS, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 12, 2020
- Last Updated
- Aug 12, 2020
Practice Location
- Address
- 203 STORRS RD
- City
- Mansfield Center
- State
- Connecticut
- ZIP Code
- 06250-1638
- Phone
- (860) 423-9717
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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