NPI 1811081060

Joel D Davidson, DMD

Practitioner Dentist Tolland, CT

Practice location

Address: 630 Tolland Stage Rd, Tolland, CT 06084-2924
Phone: (860) 872-8551
Fax: (860) 871-7758
Mailing address: 630 Tolland Stage Rd PO Box 887, Tolland, CT 06084-2924

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 4523 (CT)

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Registry record

NPI: 1811081060
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2006
Record last updated: 10 Aug 2015

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.