Dr. Michael Hugh Balfour, D.D.S.
Dentist in Waterbury, CT. Individual provider (NPI-1).
NPI number1962797191
StatusActive
Last updated in NPPESSep 19, 2016
Details
- NPI
- 1962797191
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael Hugh Balfour
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2011
- Last updated
- Sep 19, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 010493 | CT | Yes |
| 1223G0001X | Dentist, General Practice | 03892 | NH |
Practice location
1147 W Main StWaterbury, CT 06708-2737
Phone 203-755-7541 · Fax 203-755-1675
Mailing address
1147 W Main StWaterbury, CT 06708-2737
Phone 203-755-7541 · Fax 203-755-1675
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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