NPI 1881893717

Daniel John Gill, DDSMD

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

Practice location

Address: 34 Dale Rd Suite 105, Avon, CT 06001-3659
Phone: (860) 674-8079
Fax: (860) 676-8242
Mailing address: 22 Ravenwood Rd, West Hartford, CT 06107-1538

Registered specialties (2)

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

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 052166 (CT)

Other Oral & Maxillofacial Surgery providers in Connecticut →

Oral and Maxillofacial Surgery (Dentist)

Dental Providers Taxonomy 1223S0112X Licence 010169 (CT)

Other Dentist providers in Connecticut →

Registry record

NPI: 1881893717
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jul 2007
Record last updated: 14 Jan 2014

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.