Chataham Dental Care LLC

Organization Active NPI General Practice Dentistry · East Hampton, CT

NPI 1104079789 · NPPES record last updated Sep 15, 2014

Key facts

NPI
1104079789
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
008350 (CT)
Legal business name
CHATAHAM DENTAL CARE LLC
Practice address
33 W High St
East Hampton, CT 06424-1088
Phone
(860) 267-4900
NPI assigned
Oct 28, 2008
Organization subpart
No

Authorized official

Name
Dr. Nancy J. Simonow, DMD
Title
Dentist
Phone
(860) 267-4900

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 008350 CT Yes

Addresses

Primary practice location

33 W High St
East Hampton, CT 06424-1088

Mailing address

PO Box 281
East Hampton, CT 06424-0281
Phone (860) 267-4900

Other providers in East Hampton, CT

All providers in East Hampton, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.