Organization · Type 2 NPI

Connecticut Dental Professionals, P.c.

General Practice Dentistry · Mansfield Center, CT

NPI number 1447886908 Active

Practice location

203 Storrs Rd
Mansfield Center, CT 06250-1638

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6 other providers at this address

Other general practice dentistry providers in Mansfield Center

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NPI record

NPI: 1447886908
Entity type: Organization (Type 2)
Issued: Mar 17, 2020
Last updated: Mar 17, 2020
Status: Active
Subpart: Yes of Connecticut Dental Professionals, P.c.

Other names

Reservoir Commons Dental Associates · doing business as

Authorized official

Tabatha Lemke
Credentialing Coordinator
(217) 540-6078

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1447886908

Connecticut Dental Professionals, P.c.'s National Provider Identifier is 1447886908, issued on Mar 17, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Mansfield Center, CT. The record was last updated on Mar 17, 2020.