Organization
ELMWOOD AND MAIN DENTISTRY LLC
Active
Other names
Harborview Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK CHENET DDS (OWNER DENTIST)
(321) 591-4571
Entity
Organization
Contact information
Practice address
105 MAIN ST UNIT 1, OLD SAYBROOK, CT 06475-2393
(321) 591-4571
Mailing address
105 MAIN ST STE A, OLD SAYBROOK, CT 06475-2393
(860) 388-9774
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2024
Last updated
04/07/2026
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