Individual ProviderAnjali NandaDentistDental ProvidersPractice Address263 Farmington Ave, Farmington, CT 06030-0001(860) 679-2000(434) 466-8006PECOS EnrollmentBased on the most recent information from CMS, provider Anjali Nanda 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 ID1033562129Provider TypeIndividualFull NameNanda, AnjaliCredentialDDSGenderFemaleSole ProprietorNoEnumeration Date7/13/2016Last Updated1/5/2021Contact InformationPractice LocationPractice Address263 Farmington Ave, Farmington, CT 06030-0001Phone(860) 679-2000FaxUnlisted FaxMailing LocationMailing Address299 Colt Hwy, Apt 222, Farmington, CT 06032-3082Phone(434) 466-8006FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223X0400XPrimaryDescriptionDentistDental ProvidersLicenseDS042062Pennsylvania