NPI 1538554647

Family & Preventive Dentistry, PC

Organisation General Practice Dentistry Woodbury, CT

Practice location

Address: 357 Main St S, Woodbury, CT 06798-3408
Phone: (203) 263-5575
Mailing address: 357 Main St S PO Box 593, Woodbury, CT 06798-3408

Authorised official

Name: James B. Marshall
Title: Partner
Phone: (203) 263-5575

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 7617 (CT)

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Registry record

NPI: 1538554647
Entity type: Organization
NPI issued: 6 Apr 2015
Record last updated: 6 Apr 2015

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.