Dr. Justin Dessereaux, D.D.S.
Dentist, General Practice in Manchester, CT. Individual provider (NPI-1).
NPI number1982151247
StatusActive
Last updated in NPPESMay 2, 2019
Details
- NPI
- 1982151247
- Entity type
- Individual (NPI-1)
- Name
- Dr. Justin Dessereaux
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2016
- Last updated
- May 2, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 11726 | CT | Yes |
Practice location
168 Spencer StManchester, CT 06040
Phone 860-265-8047
Mailing address
15 Townwoods RdIvoryton, CT 06442-1270
Phone 203-232-4886
Other practice locations
41 Castle Point Rd
Wappingers Falls, NY 12590-7004
Wappingers Falls, NY 12590-7004
Phone 845-831-2000
41 East Ave
Westerly, RI 02891-3113
Westerly, RI 02891-3113
Phone 401-596-0319 · Fax 401-596-4448
514 W Main St
Norwich, CT 06360-5321
Norwich, CT 06360-5321
Phone 860-889-5166
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