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Dr. Alphonso L. Mack, DMD
General Practice Dentistry in Bloomfield, Connecticut
NPI 1043237704

Alphonso L. Mack is a General Practice Dentistry based in Bloomfield, CT and is specialized in General Practice. Alphonso L. Mack practices in Bloomfield, CT and has the professional credentials of DMD. The NPI Number for Alphonso L. Mack is 1043237704 and holds a License No. 005845 (Connecticut).

The current practice location address for Alphonso L. Mack is 2 Wintonbury Mall, Bloomfield, CT and can be reached out via phone at 860-243-5451 and via fax at 860-656-6107.

Location: 2 Wintonbury Mall, Bloomfield, CT, 06002-2466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043237704
Provider Name
Alphonso L. Mack
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2 Wintonbury Mall, Bloomfield, CT, 06002-2466
Phone Number
860-243-5451
Fax Number
860-656-6107
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
002058451 00 05 CT
institution
Provider Business Practice Location Address Details
Address
2 Wintonbury Mall
City
Bloomfield
State
Connecticut
Zip
06002-2466
Phone Number
860-243-5451
Fax Number
860-656-6107
person
Provider Business Mailing Address Details
Address
2 Wintonbury Mall
City
Bloomfield
State
Connecticut
Zip
06002-2466
Phone Number
860-243-5451
Fax Number
860-656-6107
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
005845 (Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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