Organization
JEANNE P. STRATHEARN, DDS, PC
Active
Other names
North Main Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANNE PINZEL STRATHEARN DDS (OWNER)
(860) 236-4249
Entity
Organization
Contact information
Practice address
12 N MAIN ST, SUITE 101, WEST HARTFORD, CT 06107-1932
(860) 236-4249
(860) 231-1571
Mailing address
12 N MAIN ST, SUITE 101, WEST HARTFORD, CT 06107-1932
(860) 236-4249
(860) 231-1571
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
010767
CT
1223G0001X
General Practice Dentistry
Primary
6909
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002069096
—
CT
05
—
004011136
—
CT
Enumeration date
11/06/2013
Last updated
11/06/2013
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