NPI 1033578240

Teresa Matyas

Practitioner Dentist New London, CT

Practice location

Address: 4 Shaws Cv STE 202, New London, CT 06320
Phone: (860) 443-4199
Mailing address: 4 Shaws Cv STE 202, New London, CT 06320-4956

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 11889 (CT)

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Registry record

NPI: 1033578240
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Feb 2016
Record last updated: 2 Aug 2019

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.