Organization · NPI-2

Endodontics PC

Dentist, Endodontics · New London, CT

NPI number1437367158
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1437367158
Entity type
Organization (NPI-2)
Legal business name
Endodontics PC
Organization subpart
No
Enumeration date
May 18, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223E0200X Dentist, Endodontics004372CTYes
1223E0200X Dentist, Endodontics01761RI

Practice location

190 Hempstead St
New London, CT 06320

Phone 860-447-0338 · Fax 860-444-2202

Mailing address

190 Hempstead St
New London, CT 06320

Phone 860-447-0338 · Fax 860-444-2202

Authorized official

Kenneth P Sunshine
President Dentist
8604470338

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