NPI 1215353560

Market Square Dental Associates, LLC

Organisation Health Maintenance Organization Newington, CT

Practice location

Address: 51 Market Sq, Newington, CT 06111-2912
Phone: (860) 667-0818
Fax: (860) 666-7185

Authorised official

Name: Walter J Leckowicz
Title: Owner
Phone: (860) 667-0818

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 007677 (CT)

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Registry record

NPI: 1215353560
Entity type: Organization
NPI issued: 11 Mar 2014
Record last updated: 11 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.