Active NPIIndividual provider

Dr. Zachary T Grillo, DMD

Dentist, General Practice in South Windsor, Connecticut

NPI Number1790072510
Practice location
498 Buckland RD, South Windsor, CT 06074-3708
Fax
—
Last updated
June 25, 2012

Zachary T Grillo is a Dentist, General Practice based in South Windsor, CT. Zachary T Grillo practices in South Windsor, CT and has the professional credentials of DMD. The NPI Number for Zachary T Grillo is 1790072510 and holds a License No. 010565 (CT). The current practice location address for Zachary T Grillo is 498 Buckland RD, South Windsor, CT 06074-3708 and can be reached out via phone at 860-648-2848.

Provider Profile Details

NPI Number
1790072510
Provider Name
Zachary T Grillo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
498 Buckland RD, South Windsor, CT 06074-3708
Phone Number
860-648-2848
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 30, 2011
Last Update Date
June 25, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
498 Buckland RD
South Windsor, CT 06074-3708
Zip
06074-3708
Phone Number
860-648-2848
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
498 Buckland RD
South Windsor, CT 06074-3708
City
South Windsor
State
CT
Zip
06074-3708
Phone Number
860-648-2848

License Information

License Number
010565
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 Dr. Zachary T Grillo, DMD?

The NPI number of Dr. Zachary T Grillo, DMD is 1790072510. It was assigned on June 30, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Zachary T Grillo, DMD?

Dr. Zachary T Grillo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 010565.

Where does Dr. Zachary T Grillo, DMD practice?

The practice location is 498 Buckland RD, South Windsor, CT 06074-3708. The office can be reached at 860-648-2848 (phone).

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 1790072510 directly on the NPPES registry website.

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