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Organization
JOHN R KASHMANIAN DMD PC
Active
Organization
JOHN R KASHMANIAN DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R KASHMANIAN DMD (PRESIDENT)
(860) 928-7487
Entity
Organization
Contact information
Practice address
15 A SEARLES RD, POMFRET CENTER, CT 06259
(860) 928-7487
Mailing address
15 A SEARLES RD, POMFRET CENTER, CT 06259
(860) 928-7487
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
007615
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012532
DORAL DENTAL
—
01
—
00207615800
BLUE CARE FAMILY PLAN
—
01
—
020007615CT01
ANTHEM BCBS MEDICAL DENTA
—
01
—
030160
HEALTHNET AND HEALTHY OPT
—
01
—
16532
HARVARD PILGRIM HEALTHCAR
—
01
—
9421366
CIGNA MEDICAL
—
01
—
P1826771
OXFORD HEALTH PLAN
—
Enumeration date
03/27/2006
Last updated
08/22/2020
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