- Practice location
- 74 Main Street, Lakewood, CT 06451
- Phone
- 203-235-0121
- Fax
- 203-235-6337
- Last updated
- March 2, 2016
Mcm Dental, LLC is a healthcare organization based in Lakewood, CT. Mcm Dental, LLC practices in Lakewood, CT. The NPI Number for Mcm Dental, LLC is 1235599333 and holds a License No. 11072 (CT). The current practice location address for Mcm Dental, LLC is 74 Main Street, Lakewood, CT 06451 and can be reached out via phone at 203-235-0121 and via fax at 203-235-6337.
Provider Profile Details
- NPI Number
- 1235599333
- Provider Name
- Mcm Dental, LLC
- Provider Entity Type
- Organization
- Address
- 74 Main Street, Lakewood, CT 06451
- Phone Number
- 203-235-0121
- Fax Number
- 203-235-6337
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Maxwell Boatey, DMD · Owner · 203-235-0121
- Provider Enumeration Date
- March 2, 2016
- Last Update Date
- March 2, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 74 Main Street
Lakewood, CT 06451 - City
- Lakewood
- State
- Connecticut
- Zip
- 06451
- Phone Number
- 203-235-0121
- Fax Number
- 203-235-6337
Provider Business Mailing Address Details
- Address
- 74 Main St
Meriden, CT 06451-5119 - City
- Meriden
- State
- CT
- Zip
- 06451-5119
- Phone Number
- 203-235-0121
- Fax Number
- 203-235-6337
License Information
- License Number
- 11072
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Lakewood, CT
View all Dentists in Lakewood →Frequently Asked Questions
What is the NPI number of Mcm Dental, LLC?
The NPI number of Mcm Dental, LLC is 1235599333. It was assigned on March 2, 2016 and is currently active in the NPPES registry.
What is the specialty of Mcm Dental, LLC?
Mcm Dental, LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 11072.
Where does Mcm Dental, LLC practice?
The practice location is 74 Main Street, Lakewood, CT 06451. The office can be reached at 203-235-0121 (phone) or 203-235-6337 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235599333 directly on the NPPES registry website.