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General NPI Number Information
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NPI Number | 1033737457
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Entity Type | Organization
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Legal Business Name | CONSTANT DENTAL CARE, PLLC
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Dates
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Enumeration Date | 07/13/2020
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Last Update Date | 07/13/2020
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Provider Practice Location Address
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Address Line | 1131 WEST STREET BUILDING #1 SUITE #5
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City | SOUTHINGTON
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State | CT
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Zip | 06489
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Country | US
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Telephone | 860-414-6897
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Fax |
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Provider Business Mailing Address
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Address Line | 100 OLD MEADOW PLAIN RD
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City | WEATOGUE
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State | CT
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Zip | 06089-9769
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Country | US
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Telephone | 860-414-6897
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLER CONSTANT
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Credential | DDS
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Telephone | 850-414-6897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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