Active NPIIndividual providerSole proprietor

John Kanca III, DMD

Dentist, General Practice in Middlebury, Connecticut

NPI Number1417114455
Practice location
390 Middlebury RD, Middlebury, CT 06762-2634
Fax
203-758-8583
Last updated
May 19, 2008

John Kanca is a Dentist, General Practice based in Middlebury, CT. John Kanca practices in Middlebury, CT and has the professional credentials of DMD. The NPI Number for John Kanca is 1417114455 and holds a License No. 5505 (CT). The current practice location address for John Kanca is 390 Middlebury RD, Middlebury, CT 06762-2634 and can be reached out via phone at 203-758-8059 and via fax at 203-758-8583.

Provider Profile Details

NPI Number
1417114455
Provider Name
John Kanca
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
390 Middlebury RD, Middlebury, CT 06762-2634
Phone Number
203-758-8059
Fax Number
203-758-8583
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 19, 2008
Last Update Date
May 19, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
390 Middlebury RD
Middlebury, CT 06762-2634
Zip
06762-2634
Phone Number
203-758-8059
Fax Number
203-758-8583
Middlebury, CT 06762Get directions →

Provider Business Mailing Address Details

Address
390 Middlebury RD
Middlebury, CT 06762-2634
City
Middlebury
State
CT
Zip
06762-2634

License Information

License Number
5505
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 John Kanca III, DMD?

The NPI number of John Kanca III, DMD is 1417114455. It was assigned on May 19, 2008 and is currently active in the NPPES registry.

What is the specialty of John Kanca III, DMD?

John Kanca III, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 5505.

Where does John Kanca III, DMD practice?

The practice location is 390 Middlebury RD, Middlebury, CT 06762-2634. The office can be reached at 203-758-8059 (phone) or 203-758-8583 (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 1417114455 directly on the NPPES registry website.

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