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Individual

DR. MICHAEL P SEROW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
281 HARTFORD TURNPIKE, SUITE 205, VERNON, CT 06066
(860) 871-2618
(860) 872-9477
Mailing address
281 HARTFORD TURNPIKE, SUITE 205, VERNON, CT 06066
(860) 871-2618
(860) 872-9477

Taxonomy

Speciality
Code
Description
License number
State
1223E0200X
Endodontics
4124
CT
1223G0001X
General Practice Dentistry
Primary
4124
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020004124CT01
ANTHEM BLUE CROSS
01
458860
UNITED CONCORDIA
01
52411
DENTAL BENEFITS PROVIDERS
01
8611
DELTA DENTAL
Enumeration date
11/02/2006
Last updated
09/11/2025
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