Dr. Griffin B Udelson, DMD
Dentist in Avon, Connecticut
1477971257- Practice location
- 44 Dale RD Ste 2, Avon, CT 06001-3676
- Phone
- 860-677-6405
- Fax
- 860-677-1189
- Last updated
- March 24, 2021
Griffin B Udelson is a Dentist based in Avon, CT. Griffin B Udelson practices in Avon, CT and has the professional credentials of DMD. The NPI Number for Griffin B Udelson is 1477971257 and holds a License No. DN1856847 (MA). The current practice location address for Griffin B Udelson is 44 Dale RD Ste 2, Avon, CT 06001-3676 and can be reached out via phone at 860-677-6405 and via fax at 860-677-1189.
Provider Profile Details
- NPI Number
- 1477971257
- Provider Name
- Griffin B Udelson
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 44 Dale RD Ste 2, Avon, CT 06001-3676
- Phone Number
- 860-677-6405
- Fax Number
- 860-677-1189
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 31, 2014
- Last Update Date
- March 24, 2021
- Certification Date
- March 24, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 44 Dale RD Ste 2
Avon, CT 06001-3676 - City
- Avon
- State
- Connecticut
- Zip
- 06001-3676
- Phone Number
- 860-677-6405
- Fax Number
- 860-677-1189
Provider Business Mailing Address Details
- Address
- 44 Dale RD Ste 2
Avon, CT 06001-3676 - City
- Avon
- State
- CT
- Zip
- 06001-3676
- Phone Number
- 860-677-6405
- Fax Number
- 860-677-1189
License Information
- License Number (1)
- DN1856847
- License State (1)
- MA
- Taxonomy (1)
- Dentist · 122300000X
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (3)
- 12712
- License State (3)
- CT
- Taxonomy (3)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Griffin B Udelson, DMD?
The NPI number of Dr. Griffin B Udelson, DMD is 1477971257. It was assigned on March 31, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Griffin B Udelson, DMD?
Dr. Griffin B Udelson, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1856847.
Where does Dr. Griffin B Udelson, DMD practice?
The practice location is 44 Dale RD Ste 2, Avon, CT 06001-3676. 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 1477971257 directly on the NPPES registry website.