Active NPIIndividual provider

Dr. Flavia Gomes Velasque Gama, DMD

Student in an Organized Health Care Education/Training Program in Farmington, Connecticut

NPI Number1366030876
Practice location
263 Farmington Avenue, Farmington, CT 06053
Fax
860-679-1363
Last updated
July 23, 2021

Flavia Gomes Velasque Gama is a Student in an Organized Health Care Education/Training Program based in Farmington, CT. Flavia Gomes Velasque Gama practices in Farmington, CT and has the professional credentials of DMD. The NPI Number for Flavia Gomes Velasque Gama is 1366030876 and holds a License No. 13093 (CT). The current practice location address for Flavia Gomes Velasque Gama is 263 Farmington Avenue, Farmington, CT 06053 and can be reached out via phone at 860-679-2207 and via fax at 860-679-1363.

Provider Profile Details

NPI Number
1366030876
Provider Name
Flavia Gomes Velasque Gama
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
263 Farmington Avenue, Farmington, CT 06053
Phone Number
860-679-2207
Fax Number
860-679-1363
Sole Proprietor
No
Provider Enumeration Date
January 10, 2021
Last Update Date
July 23, 2021
Certification Date
June 29, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
263 Farmington Avenue
Farmington, CT 06053
Zip
06053
Phone Number
860-679-2207
Fax Number
860-679-1363
Farmington, CT 06053Get directions →

Provider Business Mailing Address Details

Address
1248 Farmington Ave Apt C14
West Hartford, CT 06107-2624
City
West Hartford
State
CT
Zip
06107-2624
Phone Number
617-369-2816

License Information

License Number
13093
License State
CT

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. Flavia Gomes Velasque Gama, DMD?

The NPI number of Dr. Flavia Gomes Velasque Gama, DMD is 1366030876. It was assigned on January 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Flavia Gomes Velasque Gama, DMD?

Dr. Flavia Gomes Velasque Gama, DMD is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X), licensed in CT under license number 13093.

Where does Dr. Flavia Gomes Velasque Gama, DMD practice?

The practice location is 263 Farmington Avenue, Farmington, CT 06053. The office can be reached at 860-679-2207 (phone) or 860-679-1363 (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 1366030876 directly on the NPPES registry website.

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