Dr. Douglas J Macko, DMD
Dentist, Pediatric Dentistry in Southington, CT. Individual provider (NPI-1).
NPI number1881744092
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1881744092
- Entity type
- Individual (NPI-1)
- Name
- Dr. Douglas J Macko
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 11, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0221X | Dentist, Pediatric Dentistry | 004917 | CT | Yes |
Practice location
55 Meriden AvenueSuite 3f
Southington, CT 06489
Phone 860-621-8959 · Fax 860-628-2459
Mailing address
55 Meriden AvenueSuite 3f
Southington, CT 06489
Phone 860-621-8959 · Fax 860-628-2459
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All 6 Pediatric Dentistry providers in Southington · All 688 providers in Southington
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