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Blackwell Dental Pllc
Dental Clinic/Center in Woodbury, Connecticut
NPI 1720585680

Blackwell Dental Pllc is a Dental Clinic/Center based in Southbury, CT and is specialized in Dental. Blackwell Dental Pllc practices in Woodbury, CT. The NPI Number for Blackwell Dental Pllc is 1720585680 and holds a License No. 11-610 (Connecticut).

The current practice location address for Blackwell Dental Pllc is 387 Main St S, Woodbury, CT and can be reached out via phone at 757-581-9965.

Location: 387 Main St S, Woodbury, CT, 06488-3231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720585680
Provider Name
Blackwell Dental Pllc
Credential
Provider Entity Type
Organization
Address
387 Main St S, Woodbury, CT, 06488-3231
Phone Number
757-581-9965
Fax Number
Provider Enumeration Date
04/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
387 Main St S
City
Woodbury
State
Connecticut
Zip
06798-3412
Phone Number
757-581-9965
Fax Number
person
Provider Business Mailing Address Details
Address
387 Main St S
City
Woodbury
State
Connecticut
Zip
06798-3412
Phone Number
757-581-9965
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
11-610 (Connecticut)
Definition
Definition to come...
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