Organization
HEIM & CARROLL DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD A HEIM DMD (PARTNER)
(860) 633-2031
Entity
Organization
Contact information
Practice address
36 WELLES ST, SUITE 240, GLASTONBURY, CT 06033-2080
(860) 633-2031
Mailing address
36 WELLES ST, SUITE 240, GLASTONBURY, CT 06033-2080
(860) 633-2031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6781
CT
1223G0001X
General Practice Dentistry
8882
CT
Other
Enumeration date
01/31/2007
Last updated
08/22/2020
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