Individual
MARC H SCOLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
416 NEW LONDON TPKE, GLASTONBURY, CT 06033-2237
(860) 633-3671
(860) 633-9128
Mailing address
416 NEW LONDON TPKE, GLASTONBURY, CT 06033-2237
(860) 633-3671
(860) 633-9128
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4892
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020004892CT01
ANTHEM BCBS
CT
05
—
2048924
—
CT
Enumeration date
03/08/2007
Last updated
07/08/2007
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