Individual ProviderSumit YadavDentistDental ProvidersPractice Address263 Farmington Ave, L 7063, Farmington, CT 06030-1000(860) 679-2664(860) 679-2207PECOS EnrollmentBased on the most recent information from CMS, provider Sumit Yadav is legally eligible to order and refer claims for Part B, HHA and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1013260942Provider TypeIndividualFull NameYadav, SumitCredentialDDSGenderMaleSole ProprietorNoEnumeration Date10/16/2012Last Updated12/19/2014Contact InformationPractice LocationPractice Address263 Farmington Ave, L 7063, Farmington, CT 06030-1000Phone(860) 679-2664Fax(860) 679-1920Mailing LocationMailing Address263 Farmington Ave, Mc3905, Farmington, CT 06030-3905Phone(860) 679-2207Fax(860) 679-1899Provider TaxonomiesCodeDescriptionLicenseCode1223X0400XPrimaryDescriptionDentistDental ProvidersLicense010367Connecticut