Organization
NEW ENGLAND ENDODONTICS PC
Active
Parent organization
NEW ENGLAND ENDODONTICS PC
Other names
Connecticut Endodontic Associates
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEW ENGLAND ENDODONTICS PC
Authorized official
LEAH ANN MAYLOTT (CREDENTIALING ADMINISTRATOR)
(860) 874-8198
Entity
Organization
Contact information
Practice address
360 TOLLAND TPKE STE 2A, MANCHESTER, CT 06042-1770
(860) 646-4811
Mailing address
66 DWIGHT RD STE 4, LONGMEADOW, MA 01106-1949
(413) 565-2733
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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