Organization
ESSENTIAL DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. J BARDEN FULLER DDS (OWNER)
(860) 426-0997
Entity
Organization
Contact information
Practice address
1090 MERIDEN WATERBURY TPKE, SUITE 2, PLANTSVILLE, CT 06479
(860) 426-0997
(860) 426-0669
Mailing address
1090 MERIDEN WATERBURY TPKE, SUITE 2, PLANTSVILLE, CT 06479
(860) 426-0997
(860) 426-0669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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