Provider Demographics
NPI:1033737457
Name:CONSTANT DENTAL CARE, PLLC
Entity Type:Organization
Organization Name:CONSTANT DENTAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLER
Authorized Official - Middle Name:
Authorized Official - Last Name:CONSTANT
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:850-414-6897
Mailing Address - Street 1:100 OLD MEADOW PLAIN RD
Mailing Address - Street 2:
Mailing Address - City:WEATOGUE
Mailing Address - State:CT
Mailing Address - Zip Code:06089-9769
Mailing Address - Country:US
Mailing Address - Phone:860-414-6897
Mailing Address - Fax:
Practice Address - Street 1:1131 WEST STREET
Practice Address - Street 2:BUILDING #1 SUITE #5
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489
Practice Address - Country:US
Practice Address - Phone:860-414-6897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-13
Last Update Date:2020-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty