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Dr. Douglas J Macko, DMD
Pediatric Dentist in Southington, Connecticut
NPI 1881744092

Douglas J Macko is a Pediatric Dentist based in Southington, CT and is specialized in Pediatric Dentistry. Douglas J Macko practices in Southington, CT and has the professional credentials of DMD. The NPI Number for Douglas J Macko is 1881744092 and holds a License No. 004917 (Connecticut).

The current practice location address for Douglas J Macko is 55 Meriden Avenue, Southington, CT and can be reached out via phone at 860-621-8959 and via fax at 860-628-2459.

Location: 55 Meriden Avenue, Southington, CT, 06489
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881744092
Provider Name
Douglas J Macko
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
55 Meriden Avenue, Southington, CT, 06489
Phone Number
860-621-8959
Fax Number
860-628-2459
Provider Enumeration Date
01/11/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
55 Meriden Avenue
City
Southington
State
Connecticut
Zip
06489
Phone Number
860-621-8959
Fax Number
860-628-2459
person
Provider Business Mailing Address Details
Address
55 Meriden Avenue
City
Southington
State
Connecticut
Zip
06489
Phone Number
860-621-8959
Fax Number
860-628-2459
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
004917 (Connecticut)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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