Michael Louis Nero, D.M.D.
Individual provider Active NPI General Practice Dentistry · Somers, CT
NPI 1366412868 · NPPES record last updated May 21, 2008
Key facts
- NPI
- 1366412868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 18509 (MA)
- Practice address
- 646 Main St
Somers, CT 06071-2119 - Phone
- (860) 749-9911
- Fax
- (860) 749-0284
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150601000765 | CT | Order and Referring Only - Dentist |
7416278668 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18509 | MA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 18509 | MA | Yes |
Addresses
Primary practice location
646 Main St
Somers, CT 06071-2119
Mailing address
646 Main St
P. O. Box 506
Somers, CT 06071-2119
Phone (860) 749-9911
Other providers in Somers, CT
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- Justine Meyer
- Cynthia Mike
- Heather Lee Modzelewski
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- Sara E Nordlum
- Karishma Patel
- Janet Mary Pfeifer
- Cassaundra E Popek
- Private Healthcare Facilities
All providers in Somers, CT · General Practice Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.