NPI 1689722365

Coastal Connecticut Dentistry, LLC

Organisation General Practice Dentistry Waterford, CT

Practice location

Address: 112 Cross Road, Waterford, CT 06385
Phone: (860) 447-1787
Fax: (860) 447-1211

Authorised official

Name: Lloyd P McDonald
Title: Member/Owner
Phone: (860) 447-1787

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 9096 (CT)

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Registry record

NPI: 1689722365
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 3 Aug 2010

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.