Active NPIIndividual provider

Dr. Douglas J Macko, DMD

Dentist, Pediatric Dentistry in Southington, Connecticut

NPI Number1881744092
Practice location
55 Meriden Avenue, Suite 3F, Southington, CT 06489
Fax
860-628-2459
Last updated
July 8, 2007

Douglas J Macko is a Dentist, Pediatric Dentistry based in Southington, CT. 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 (CT). The current practice location address for Douglas J Macko is 55 Meriden Avenue, Suite 3F, Southington, CT 06489 and can be reached out via phone at 860-621-8959 and via fax at 860-628-2459.

Provider Profile Details

NPI Number
1881744092
Provider Name
Douglas J Macko
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
55 Meriden Avenue, Suite 3F, Southington, CT 06489
Phone Number
860-621-8959
Fax Number
860-628-2459
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
January 11, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
55 Meriden Avenue
Suite 3F
Southington, CT 06489
Zip
06489
Phone Number
860-621-8959
Fax Number
860-628-2459
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
55 Meriden Avenue
Suite 3F
Southington, CT 06489
City
Southington
State
CT
Zip
06489
Phone Number
860-621-8959
Fax Number
860-628-2459

License Information

License Number
004917
License State
CT
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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. Douglas J Macko, DMD?

The NPI number of Dr. Douglas J Macko, DMD is 1881744092. It was assigned on January 11, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Douglas J Macko, DMD?

Dr. Douglas J Macko, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 004917.

Where does Dr. Douglas J Macko, DMD practice?

The practice location is 55 Meriden Avenue, Suite 3F, Southington, CT 06489. The office can be reached at 860-621-8959 (phone) or 860-628-2459 (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 1881744092 directly on the NPPES registry website.

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