Organization
NORTHEAST CONNECTICUT DENTAL ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN J. MOONEY D.M.D. (PRESIDENT)
(860) 963-7676
Entity
Organization
Contact information
Practice address
227 POMFRET ST, PUTNAM, CT 06260-1835
(860) 963-7676
(860) 963-2258
Mailing address
227 POMFRET ST, PUTNAM, CT 06260-1835
(860) 963-7676
(860) 963-2258
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
007544
CT
Other
Enumeration date
02/07/2007
Last updated
08/22/2020
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