Organization
PEOPLESDENTAL, P.C.
Active
Parent organization
PEOPLESDENTAL, P.C.
Other names
Avon Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEOPLESDENTAL, P.C.
Authorized official
LEAH ANN MAYLOTT (CREDENTIALING ADMINISTRATOR)
(860) 874-8198
Entity
Organization
Contact information
Practice address
20 W AVON RD STE 101, AVON, CT 06001-3677
(860) 673-0451
Mailing address
20 W AVON RD STE 101, AVON, CT 06001-3677
(860) 874-8198
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
01/17/2022
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