Organization
CONNECTICUT DENTAL PROFESSIONALS, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Middlesex Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
410 SAYBROOK RD STE 202, MIDDLETOWN, CT 06457-4777
(860) 451-5775
Mailing address
410 SAYBROOK RD STE 202, MIDDLETOWN, CT 06457-4777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/02/2020
Last updated
10/02/2020
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