Active NPIIndividual provider

Dr. Robert H Pavalock, DMD

Dentist, General Practice in Terryville, Connecticut

NPI Number1013196385
Practice location
138 Main St, Terryville, CT 06786
Fax
860-584-1917
Last updated
November 2, 2007

Robert Harold Pavalock is a Dentist, General Practice based in Terryville, CT. Robert Harold Pavalock practices in Terryville, CT and has the professional credentials of DMD. The NPI Number for Robert Harold Pavalock is 1013196385 and holds a License No. 4907 (CT). The current practice location address for Robert Harold Pavalock is 138 Main St, Terryville, CT 06786 and can be reached out via phone at 860-582-3176 and via fax at 860-584-1917.

Provider Profile Details

NPI Number
1013196385
Provider Name
Robert Harold Pavalock
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
138 Main St, Terryville, CT 06786
Phone Number
860-582-3176
Fax Number
860-584-1917
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2007
Last Update Date
November 2, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
138 Main St
Terryville, CT 06786
Zip
06786
Phone Number
860-582-3176
Fax Number
860-584-1917
Terryville, CT 06786Get directions →

Provider Business Mailing Address Details

Address
138 Main St
Terryville, CT 06786
City
Terryville
State
CT
Zip
06786
Phone Number
860-582-3176
Fax Number
860-584-1917

License Information

License Number
4907
License State
CT
Taxonomy
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Robert H Pavalock, DMD?

The NPI number of Dr. Robert H Pavalock, DMD is 1013196385. It was assigned on November 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Robert H Pavalock, DMD?

Dr. Robert H Pavalock, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 4907.

Where does Dr. Robert H Pavalock, DMD practice?

The practice location is 138 Main St, Terryville, CT 06786. The office can be reached at 860-582-3176 (phone) or 860-584-1917 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013196385 directly on the NPPES registry website.

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