Individual ProviderFlavio UribeDentistDental ProvidersPractice Address263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820(860) 679-3170PECOS EnrollmentBased on the most recent information from CMS, provider Flavio Uribe 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 ID1093936593Provider TypeIndividualFull NameUribe, FlavioTitleDr.CredentialD.D.S.GenderMaleSole ProprietorNoEnumeration Date5/1/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820Phone(860) 679-3170Fax(860) 679-8162Mailing LocationMailing Address263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820Phone(860) 679-3170Fax(860) 679-8162Provider TaxonomiesCodeDescriptionLicenseCode1223X0400XPrimaryDescriptionDentistDental ProvidersLicense009046Connecticut