Heim & Carroll Dmd LLC
Dentist, General Practice in Glastonbury, CT. Organization (NPI-2).
NPI number1932246733
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1932246733
- Entity type
- Organization (NPI-2)
- Legal business name
- Heim & Carroll Dmd LLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 6781 | CT | Yes |
| 1223G0001X | Dentist, General Practice | 8882 | CT |
Practice location
36 Welles StSuite 240
Glastonbury, CT 06033-2080
Phone 860-633-2031
Mailing address
36 Welles StSuite 240
Glastonbury, CT 06033-2080
Phone 860-633-2031
Authorized official
Brad A Heim
Partner
8606332031
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