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Dr. Kenneth Maccormac II, DMD
Student in an Organized Health Care Education/Training Program in Farmington, Connecticut
NPI 1669057113

Kenneth Maccormac II is a Student in an Organized Health Care Education/Training Program based in Weatogue, CT. Kenneth Maccormac II practices in Farmington, CT and has the professional credentials of DMD. The NPI Number for Kenneth Maccormac II is 1669057113 and holds a License No. (Connecticut).

The current practice location address for Kenneth Maccormac II is 273 Farmington Avenue, Farmington, CT and can be reached out via phone at 860-679-2000.

Location: 273 Farmington Avenue, Farmington, CT, 06089-9780
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669057113
Provider Name
Kenneth Maccormac II
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
273 Farmington Avenue, Farmington, CT, 06089-9780
Phone Number
860-679-2000
Fax Number
Provider Enumeration Date
03/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
273 Farmington Avenue
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider Business Mailing Address Details
Address
273 Farmington Avenue
City
Farmington
State
Connecticut
Zip
06030-0001
Phone Number
860-679-2000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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