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Organization

CENTRAL CONNECTICUT PROCEDURE CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID AARON FENTON DDS, MD (MEDICAL DIRECTOR)
(734) 678-8141
Entity
Organization

Contact information

Practice address
1 GROVE ST, NEW BRITAIN, CT 06053-4116
(734) 678-8141
Mailing address
36 WESTMONT ST, WEST HARTFORD, CT 06117-2927
(734) 678-8141

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
124Q00000X
Dental Hygienist
207L00000X
Anesthesiology Physician
207T00000X
Neurological Surgery Physician
208600000X
Surgery Physician
Primary
208VP0014X
Interventional Pain Medicine Physician
367500000X
Certified Registered Nurse Anesthetist

Other

Enumeration date
05/22/2026
Last updated
05/22/2026
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