Farmington Dental Associates
Dentist, General Practice in Farmington, CT. Organization (NPI-2).
NPI number1932276540
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1932276540
- Entity type
- Organization (NPI-2)
- Legal business name
- Farmington Dental Associates
- Organization subpart
- No
- Enumeration date
- Nov 29, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 008726 | CT | Yes |
Practice location
775 Farmington AveFarmington, CT 06032-2310
Phone 860-677-2226 · Fax 860-678-8207
Mailing address
775 Farmington AveFarmington, CT 06032-2310
Phone 860-677-2226 · Fax 860-678-8207
Authorized official
Anthony A Mancini
President
8606772226
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