| Avon Family Dentistry | |
|
44 Dale Rd Avon CT 06001-3612 | |
| (860) 677-6405 | |
| (860) 677-1189 |
| Full Name | Avon Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 44 Dale Rd, Avon, Connecticut |
| Authorized Official Name and Position | Collin B. Sanford (DENTIST) |
| Authorized Official Contact | 8606776405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avon Family Dentistry 44 Dale Rd Avon CT 06001-3612 Ph: (860) 677-6405 | Avon Family Dentistry 44 Dale Rd Avon CT 06001-3612 Ph: (860) 677-6405 |
| NPI Number | 1063567246 |
|---|---|
| Provider Enumeration Date | 01/25/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063567246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0236292 (Connecticut) | Secondary |
| 1223G0001X | Dentist - General Practice | (Connecticut) | Primary |
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