Greene Dental Group, Llc

NPI 1497952923 - Clinic/Center - 261QD0000X

NPI Details
NPI 1497952923
Enumeration Date 06/28/2007
Last Updated 06/20/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JONATHAN EDWARD JONATHAN
Position PRESIDENT
Phone (860) 889-8427
Fax (860) 204-9402
Practice Location
65 SACHEM ST
NORWICH CT, 06360-4201, US
Phone (860) 889-8427
Fax (860) 204-9402
Business Location
65 SACHEM ST
NORWICH CT, 06360-4201, US
Phone (860) 889-8427
Fax (860) 204-9402
Toxanomy
Taxonomy Code 261QD0000X
License State Connecticut
License Number 009537
Remove 1497952923 NPI Number
 

According to our database, Greene Dental Group, Llc NPI is 1497952923, taxonomy code is 261QD0000X and license number is 009537, license state is located at Connecticut. Greene Dental Group, Llc physically located at 65 Sachem St, Norwich CT, 06360-4201. NPI Number 1033115704 has the healthcare provider type.

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1497952923 NPI number is provided on an as is basis without warranty of any kind. 1497952923 is maintained by the National Plan & Provider Enumeration System. The contents of Greene Dental Group, Llc are for informational purposes only.