Premier Dental P C
Premier Dental P C is a Prosthodontics in Meriden, Connecticut. Licensed in Connecticut. Registered with an NPI since 2014.
- Licensed in
- CT
- In the registry since
- 2014
- Specialties on file
- 3
Practice location Address checks out
727 Broad StMeriden, CT 06450-4341
Phone: (203) 235-1415
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Customized Equipment (DME) (primary) | Taxonomy 332BC3200X |
|---|---|
| Prosthodontics | Taxonomy 1223P0700X · Licence 10452 (CT) |
| Durable Medical Equipment & Medical Supplies | Taxonomy 332B00000X |
Record details
| NPI number | 1710394903 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Polina Simanovich — Dentist/Prosthodontist · (203) 235-1415 |
| NPI enumerated | July 19, 2014 |
| Last updated in NPPES | May 3, 2023 |
| Certification date | May 3, 2023 |
| Mailing address | 727 Broad St, Meriden, CT 06450-4341 |