Organization
J DENTAL GROUP PC
Active
Other names
Wethersfield Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
TAMI SMITH (CREDENTIALING SPECIALIST)
(317) 366-3595
Entity
Organization
Contact information
Practice address
1177 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4348
(860) 563-6080
(860) 529-4420
Mailing address
1177 SILAS DEANE HWY, WETHERSFIELD, CT 06109-4348
(860) 563-6080
(860) 529-4420
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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