NPI 1407851116

Michael T Goupil, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Farmington, CT

Practice location

Address: 263 Farmington Ave, Farmington, CT 06030-0001
Phone: (860) 679-3300
Fax: (860) 679-1099
Mailing address: 263 Farmington Ave Mc3915, Farmington, CT 06030-3915

Registered specialties (2)

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 007846 (CT)

Other Oral & Maxillofacial Surgery providers in Connecticut →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 007846 (CT)

Other Dentist providers in Connecticut →

Registry record

NPI: 1407851116
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2005
Record last updated: 12 Apr 2013

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.