Active NPIOrganization

Avon Center Dentistry

Dentist, General Practice in Avon, Connecticut

NPI Number1649618901
Practice location
19 Ensign Drive, Avon, CT 06001
Fax
860-404-5582
Last updated
June 10, 2013

Avon Center Dentistry is a healthcare organization based in Avon, CT. Avon Center Dentistry practices in Avon, CT. The NPI Number for Avon Center Dentistry is 1649618901 and holds a License No. 7753 (CT). The current practice location address for Avon Center Dentistry is 19 Ensign Drive, Avon, CT 06001 and can be reached out via phone at 860-404-5494 and via fax at 860-404-5582.

Provider Profile Details

NPI Number
1649618901
Provider Name
Avon Center Dentistry
Provider Entity Type
Organization
Address
19 Ensign Drive, Avon, CT 06001
Phone Number
860-404-5494
Fax Number
860-404-5582
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
Yes
Parent Organization
Hebron Center Dentistry
Authorized Official
James Bussiere, DMD · Owner · 860-404-5494
Provider Enumeration Date
June 10, 2013
Last Update Date
June 10, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Ensign Drive
Avon, CT 06001
City
Avon
Zip
06001
Phone Number
860-404-5494
Fax Number
860-404-5582
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
19 Ensign Dr
Avon, CT 06001-3705
City
Avon
State
CT
Zip
06001-3705
Phone Number
860-404-5494
Fax Number
860-404-5582

License Information

License Number (1)
7753
License State (1)
CT
Taxonomy (1)
Dentist, Periodontics · 1223P0300X
License Number (2)
7753
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 Center Dentistry?

The NPI number of Avon Center Dentistry is 1649618901. It was assigned on June 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Avon Center Dentistry?

Avon Center Dentistry is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 7753.

Where does Avon Center Dentistry practice?

The practice location is 19 Ensign Drive, Avon, CT 06001. The office can be reached at 860-404-5494 (phone) or 860-404-5582 (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 1649618901 directly on the NPPES registry website.

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