Delaurentis Dental PLLC
Clinic/Center, Dental in Farmington, CT. Organization (NPI-2).
NPI number1558295147
StatusActive
Last updated in NPPESJun 10, 2026
Details
- NPI
- 1558295147
- Entity type
- Organization (NPI-2)
- Legal business name
- Delaurentis Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jun 10, 2026
- Certification date
- Jun 10, 2026
- Last updated
- Jun 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
218 Main StFarmington, CT 06032-2959
Phone 860-470-3660
Mailing address
20 W 5th St Apt 6dBoston, MA 02127-3351
Phone 203-909-1892
Authorized official
Tyler Delaurentis
Dentist
2039091892
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