NPI 1104945708

Janellen G Matyas, DDS

Practitioner General Practice Dentistry New London, CT

Practice location

Address: 4 Shaws Cv STE 202, New London, CT 06320-4956
Phone: (860) 443-4199
Fax: (860) 444-6145

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 6895 (CT)

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Registry record

NPI: 1104945708
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Mar 2007
Record last updated: 8 Jul 2007

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.