DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: DENTAL SERVICES OF SOUTH WINDSOR, LLC

MEDICARE: DENTAL SERVICES OF SOUTH WINDSOR, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry9300CT
21223G0001XGeneral Practice Dentistry6350CT

General Provider Information

NPI Number : 1750302980
Entity Type Code : Organization
Provider Name (Legal Business Name) : DENTAL SERVICES OF SOUTH WINDSOR, LLC
Provider Business Mailing Address
First Line : 479 BUCKLAND RD
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-3739
Country : US
Telephone Number : 860-648-4471
Fax Number : 860-648-0181
Provider Business Practice Location Address
First Line : 479 BUCKLAND ROAD
Second Line :
City : SOUTH WINDSOR
State : CT
Zip : 06074-3515
Country : US
Telephone Number : 860-648-4471
Fax Number : 860-648-0181
Authorized Official
Title or Position : OWNER/MEMBER DENTIST
Name : DR. GREGORY BRUCE HAROIAN
Credential : DMD
Telephone Number : 860-289-4955
Provider Enumeration Date : 07/22/2006
Last Update Date : 08/18/2008

Similar Medicare Providers

1659300358 — DR. ROBIN SURWILO PH.D.
Practice Location Address:
1169 ELLINGTON RD
SOUTH WINDSOR, CT
06074-3515
Practice Phone: 860-289-4404
Practice Fax: 860-289-4402
1487662490 — MS. STEPHANIE COLLEEN NETTLES LMFT
Practice Location Address:
1169 ELLINGTON RD , ENHANCING BEHAVIORAL CHOICES
SOUTH WINDSOR, CT
06074-3515
Practice Phone: 860-289-4494
Practice Fax:
1669584074 — DR. JACK M. CHINSKY PH.D.
Practice Location Address:
1169 ELLINGTON RD
SOUTH WINDSOR, CT
06074-3515
Practice Phone: 860-289-4404
Practice Fax: 860-289-4401
1891980678 — MR. TIMOTHY JAMES JESKI LCSW
Practice Location Address:
1169 ELLINGTON RD
SOUTH WINDSOR, CT
06074-3515
Practice Phone: 860-324-2840
Practice Fax:
1376785808 — ENHANCING BEHAVIORAL CHOICES
Practice Location Address:
1169 ELLINGTON RD
SOUTH WINDSOR, CT
06074-3515
Practice Phone: 860-289-4404
Practice Fax: 860-289-4402
1235420977 — KAREN FOLEY-SCHAIN MA MED LLC
Practice Location Address:
1169 ELLINGTON RD
SOUTH WINDSOR, CT
06074-3515
Practice Phone: 860-508-0332
Practice Fax:

Directions to “DENTAL SERVICES OF SOUTH WINDSOR, LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.