Organization
SHARON DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A COLITE DMD (OWNER/PRESIDENT)
(860) 364-0204
Entity
Organization
Contact information
Practice address
57 MAIN ST, SHARON, CT 06069-2018
(860) 364-0204
(860) 364-0505
Mailing address
57 MAIN ST, SHARON, CT 06069-2018
(860) 364-0204
(860) 364-0505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10168
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962630632
PERSONAL NPI #
CT
Enumeration date
11/12/2014
Last updated
11/12/2014
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