Active NPIIndividual providerSole proprietor

Kenneth E Endres, DDS

Dentist, General Practice in Granby, Connecticut

NPI Number1801927058
Practice location
33 Hartford Avenue, Box 330, Granby, CT 06035
Fax
860-653-4552
Last updated
July 8, 2007

Kenneth Edward Endres is a Dentist, General Practice based in Granby, CT. Kenneth Edward Endres practices in Granby, CT and has the professional credentials of DDS. The NPI Number for Kenneth Edward Endres is 1801927058 and holds a License No. 06442 (CT). The current practice location address for Kenneth Edward Endres is 33 Hartford Avenue, Box 330, Granby, CT 06035 and can be reached out via phone at 860-653-4551 and via fax at 860-653-4552.

Provider Profile Details

NPI Number
1801927058
Provider Name
Kenneth Edward Endres
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
33 Hartford Avenue, Box 330, Granby, CT 06035
Phone Number
860-653-4551
Fax Number
860-653-4552
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 8, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
33 Hartford Avenue
Box 330
Granby, CT 06035
City
Granby
Zip
06035
Phone Number
860-653-4551
Fax Number
860-653-4552
Granby, CT 06035Get directions →

Provider Business Mailing Address Details

Address
10 Helena RD
Avon, CT 06001-3432
City
Avon
State
CT
Zip
06001-3432
Phone Number
860-673-7738
Fax Number
860-673-0836

License Information

License Number
06442
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 Kenneth E Endres, DDS?

The NPI number of Kenneth E Endres, DDS is 1801927058. It was assigned on March 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Kenneth E Endres, DDS?

Kenneth E Endres, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 06442.

Where does Kenneth E Endres, DDS practice?

The practice location is 33 Hartford Avenue, Box 330, Granby, CT 06035. The office can be reached at 860-653-4551 (phone) or 860-653-4552 (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 1801927058 directly on the NPPES registry website.

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