Dental Yellow Pages

Dental Yellow Pages

Dentists, Dental Clinics and Practices
Oral Surgery, Dental Specialists

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UCONN HEALTH CENTER

Oral and Maxillofacial Radiology

Farmington, Connecticut

Provider NPI: 1770572588

Organization Information:
Organization Name:  UCONN HEALTH CENTER
Organization is not Subpart
Authorized Official:  ALAN G. LURIE  PROFESSOR  860-6792453

Practice Location:
263 FARMINGTON AVE ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110 FARMINGTON, CT 06030 US
Tel: 860-679-2453  Fax: 860-679-2756

Business Mailing Address:
263 FARMINGTON AVE ORAL AND MAXILLOFACIAL RADIOLOGY MC 2110 FARMINGTON, CT 06030 US
Tel: 860-679-2453  Fax: 860-679-2756

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223X0008XDental Providers
Dentist
Oral and Maxillofacial Radiology
CT004751

Other Provider Identifiers:

IssuerNumberStateType
2047513CT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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