NPI 1902975808

Frederick M Daniels, DDS

Practitioner General Practice Dentistry Tolland, CT

Practice location

Address: 12 Goose Lane, Tolland, CT 06084
Phone: (860) 875-6269
Fax: (860) 870-5606

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 005030 (CT)

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Registry record

NPI: 1902975808
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Nov 2006
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.