NPI 1891156816

Conway Ma, DMD

Practitioner General Practice Dentistry Tolland, CT

Practice location

Address: 12 Goose Ln, Tolland, CT 06084-3400
Phone: (860) 875-6269
Mailing address: 16 Jones CT, Norwich, CT 06360-6002

Registered specialties (3)

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 13322 (CT)

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General Practice Dentistry

Dental Providers Taxonomy 1223G0001X Licence DN1857687 (MA)

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1891156816
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 Mar 2016
Record last updated: 21 Dec 2023

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.