NPI 1750599270

Lance E. Banwell,dds,pc

Organisation Dentist Woodbury, CT

Practice location

Address: 387 Main St S, Woodbury, CT 06798-2608
Phone: (203) 263-5300
Fax: (203) 263-4327
Mailing address: 387 Main St S, Woodbury, CT 06798-3412

Authorised official

Name: Lance E Banwell
Title: President
Phone: (203) 263-5300

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 05392 (CT)

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Registry record

NPI: 1750599270
Entity type: Organization
NPI issued: 18 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.