Waterbury Family Dental P.c.
Dentist in Waterbury, Connecticut
1689997124- Practice location
- 155 Thomaston Ave, C12, Waterbury, CT 06702-1020
- Phone
- 203-288-3000
- Fax
- 203-288-3004
- Last updated
- March 11, 2010
Waterbury Family Dental P.c. is a healthcare organization based in Waterbury, CT. Waterbury Family Dental P.c. practices in Waterbury, CT. The NPI Number for Waterbury Family Dental P.c. is 1689997124 and holds a License No. 010025 (CT). The current practice location address for Waterbury Family Dental P.c. is 155 Thomaston Ave, C12, Waterbury, CT 06702-1020 and can be reached out via phone at 203-288-3000 and via fax at 203-288-3004.
Provider Profile Details
- NPI Number
- 1689997124
- Provider Name
- Waterbury Family Dental P.c.
- Provider Entity Type
- Organization
- Address
- 155 Thomaston Ave, C12, Waterbury, CT 06702-1020
- Phone Number
- 203-288-3000
- Fax Number
- 203-288-3004
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Mr. Kanye Michael Bosma · Manager · 203-288-3000
- Provider Enumeration Date
- March 11, 2010
- Last Update Date
- March 11, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 155 Thomaston Ave
C12
Waterbury, CT 06702-1020 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1020
- Phone Number
- 203-288-3000
- Fax Number
- 203-288-3004
Provider Business Mailing Address Details
- Address
- 155 Thomaston Ave
C12
Waterbury, CT 06702-1020 - City
- Waterbury
- State
- CT
- Zip
- 06702-1020
- Phone Number
- 203-288-3000
- Fax Number
- 203-288-3004
License Information
- License Number
- 010025
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Waterbury, CT
View all Dentists in Waterbury →Frequently Asked Questions
What is the NPI number of Waterbury Family Dental P.c.?
The NPI number of Waterbury Family Dental P.c. is 1689997124. It was assigned on March 11, 2010 and is currently active in the NPPES registry.
What is the specialty of Waterbury Family Dental P.c.?
Waterbury Family Dental P.c. is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 010025.
Where does Waterbury Family Dental P.c. practice?
The practice location is 155 Thomaston Ave, C12, Waterbury, CT 06702-1020. The office can be reached at 203-288-3000 (phone) or 203-288-3004 (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 1689997124 directly on the NPPES registry website.