NPI 1275734824

Orthodontic Associates of Southeastern Connecticut, P.C.

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Waterford, CT

Practice location

Address: 196 Parkway S Suite 305, Waterford, CT 06385-1234
Phone: (860) 443-1827
Fax: (860) 443-1745

Authorised official

Name: Gregory Adrian Hack
Title: Orthodontist Partner
Phone: (860) 443-1827

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X Licence 007723 (CT)

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Registry record

NPI: 1275734824
Entity type: Organization
NPI issued: 30 May 2007
Record last updated: 22 Aug 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.