Gregory M Gazzola, DMD is a
Dentist - General Practice based in Grosvenordale, Connecticut. Gregory M Gazzola is licensed to practice in Connecticut (license number 7071) and his current practice location is
520 Riverside Drive, Grosvenordale, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 923-2202.
NPI number for Gregory M Gazzola is 1124185038 and his current mailing address is Po Box 8, Grosvenor Dale, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124185038.
Healthcare Provider's Profile
Full Name | Gregory M Gazzola |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 520 Riverside Drive, Grosvenordale, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124185038
- Provider Enumeration Date: 01/02/2007
- Last Update Date: 09/25/2015
Medical Identifiers
Medical identifiers for Gregory M Gazzola such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124185038 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 7071 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gregory M Gazzola is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Gregory M Gazzola, DMD Po Box 8, Grosvenor Dale, CT 06246-0008 Ph: (860) 923-2202 | Gregory M Gazzola, DMD 520 Riverside Drive, Grosvenordale, CT 06246 Ph: (860) 923-2202 |
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