NPI 1215149596

Peter Peterson & Jesse Sorrentino P.C.

Organisation Periodontics Farmington, CT

Practice location

Address: 291 Farmington Ave, Farmington, CT 06032-1925
Phone: (860) 677-8747
Fax: (860) 674-9670

Authorised official

Name: Jesse M Sorrentino
Title: Partner
Phone: (860) 677-8747

Registered specialties

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 7255 (CT)

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Registry record

NPI: 1215149596
Entity type: Organization
NPI issued: 7 May 2007
Record last updated: 2 Dec 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.