Avon Dental Group, P.C.
Dentist, General Practice in Avon, CT. Organization (NPI-2).
NPI number1447463526
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1447463526
- Entity type
- Organization (NPI-2)
- Legal business name
- Avon Dental Group, P.C.
- Organization subpart
- No
- Enumeration date
- May 7, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 1223G0001X | CT | Yes |
Practice location
20 W Avon RdAvon, CT 06001-3677
Phone 860-673-0451
Mailing address
20 W Avon RdAvon, CT 06001-3677
Phone 860-673-0451
Authorized official
Daniel Brian Geelan
Partner
8606730451
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