Active NPIOrganization

Avon Family Dentistry

Dentist, General Practice in Avon, Connecticut

NPI Number1063567246
Practice location
44 Dale RD, Avon, CT 06001-3612
Fax
860-677-1189
Last updated
August 22, 2020

Avon Family Dentistry is a healthcare organization based in Avon, CT. Avon Family Dentistry practices in Avon, CT. The NPI Number for Avon Family Dentistry is 1063567246 and holds a License No. 0236292 (CT). The current practice location address for Avon Family Dentistry is 44 Dale RD, Avon, CT 06001-3612 and can be reached out via phone at 860-677-6405 and via fax at 860-677-1189.

Provider Profile Details

NPI Number
1063567246
Provider Name
Avon Family Dentistry
Provider Entity Type
Organization
Address
44 Dale RD, Avon, CT 06001-3612
Phone Number
860-677-6405
Fax Number
860-677-1189
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Collin B. Sanford, DMD · Dentist · 860-677-6405
Provider Enumeration Date
January 25, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
44 Dale RD
Avon, CT 06001-3612
City
Avon
Zip
06001-3612
Phone Number
860-677-6405
Fax Number
860-677-1189
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
44 Dale RD
Avon, CT 06001-3612
City
Avon
State
CT
Zip
06001-3612
Phone Number
860-677-6405
Fax Number
860-677-1189

License Information

License Number (1)
0236292
License State (1)
CT
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
020005127
License State (2)
CT
Taxonomy (2)
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 Avon Family Dentistry?

The NPI number of Avon Family Dentistry is 1063567246. It was assigned on January 25, 2007 and is currently active in the NPPES registry.

What is the specialty of Avon Family Dentistry?

Avon Family Dentistry is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 0236292.

Where does Avon Family Dentistry practice?

The practice location is 44 Dale RD, Avon, CT 06001-3612. The office can be reached at 860-677-6405 (phone) or 860-677-1189 (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 1063567246 directly on the NPPES registry website.

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