Organization
JEREMIAH N. O'DWYER, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH N. O'DWYER DDS (PRESIDENT)
(860) 643-6992
Entity
Organization
Contact information
Practice address
15 MIDDLE TPKE W, MANCHESTER, CT 06040-4045
(860) 643-6992
(860) 645-1882
Mailing address
15 MIDDLE TPKE W, MANCHESTER, CT 06040-4045
(860) 643-6992
(860) 645-1882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
008157
CT
Other
Enumeration date
11/28/2006
Last updated
04/09/2012
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