NPI 1831645167

Terryville Family Dental, LLC

Organisation General Practice Dentistry Terryville, CT

Practice location

Address: 14 Maple St, Terryville, CT 06786-5220
Phone: (860) 853-3582
Fax: (860) 582-8654

Authorised official

Name: Kosha Shah
Title: Owner
Phone: (860) 583-3582

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Connecticut →

Registry record

NPI: 1831645167
Entity type: Organization
NPI issued: 28 Aug 2016
Record last updated: 28 Aug 2016

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.