| Avon Center Dentistry | |
|
19 Ensign Drive Avon CT 06001 | |
| (860) 404-5494 | |
| (860) 404-5582 |
| Full Name | Avon Center Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19 Ensign Drive, Avon, Connecticut |
| Authorized Official Name and Position | James Bussiere (OWNER) |
| Authorized Official Contact | 8604045494 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Center Dentistry 19 Ensign Dr Avon CT 06001-3705 Ph: (860) 404-5494 | Avon Center Dentistry 19 Ensign Drive Avon CT 06001 Ph: (860) 404-5494 |
| NPI Number | 1649618901 |
|---|---|
| Provider Enumeration Date | 06/10/2013 |
| Last Update Date | 06/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649618901 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7753 (Connecticut) | Primary |
| 1223P0300X | Dentist - Periodontics | 7753 (Connecticut) | Secondary |
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