Advanced Dentistry, Inc

Organization Active NPI General Practice Dentistry · Cheshire, CT

NPI 1215328273 · NPPES record last updated Feb 12, 2015

Key facts

NPI
1215328273
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
8852 (CT)
Legal business name
ADVANCED DENTISTRY, INC
Practice address
435 Highland Ave
Suite 210
Cheshire, CT 06410-2572
Phone
(203) 272-7271
Fax
(203) 272-8882
NPI assigned
Feb 12, 2015
Organization subpart
No

Authorized official

Name
Mrs. Inna Masco
Title
Business Manager
Phone
(203) 272-7271

Practitioners 3

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

National Provider Directory

Locations

435 Highland Ave
Ste 210
Cheshire, CT 06410
Phone (203) 272-7271

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X 8852 CT Yes

Addresses

Primary practice location

435 Highland Ave
Suite 210
Cheshire, CT 06410-2572

Mailing address

435 Highland Ave
Suite 210
Cheshire, CT 06410-2572
Phone (203) 272-7271

Other providers in Cheshire, CT

All providers in Cheshire, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.