Organization
CONNECTICUT DENTAL PROFESSIONALS, P.C.
Active
Parent organization
HEARTLAND DENTAL
Other names
Pine Rock Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND DENTAL
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization
Contact information
Practice address
839 RIVER RD # A, SHELTON, CT 06484-5433
(203) 929-1005
Mailing address
839 RIVER RD # A, SHELTON, CT 06484-5433
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2020
Last updated
12/21/2020
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