Individual ProviderShaifali GroverDentistDental ProvidersPractice Address263 Farmington Ave, Farmington, CT 06030-0001(860) 679-2000(732) 357-6858PECOS EnrollmentBased on the most recent information from CMS, provider Shaifali Grover does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1962714345Provider TypeIndividualFull NameGrover, ShaifaliGenderFemaleSole ProprietorNoEnumeration Date7/13/2010Last Updated3/12/2020Contact InformationPractice LocationPractice Address263 Farmington Ave, Farmington, CT 06030-0001Phone(860) 679-2000FaxUnlisted FaxMailing LocationMailing Address88 Brittany Farms Rd, Apt J103, New Britain, CT 06053-1268Phone(732) 357-6858FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1223X0400XPrimaryDescriptionDentistDental ProvidersLicense11172TennesseeCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer