Joseph Statkevich D.M.D.

NPI 1043366354 - Dentist - 1223G0001X

NPI Details
NPI 1043366354
Gender Male
Enumeration Date 01/27/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
80 PHOENIX AVE
SUITE 202
WATERBURY CT, 06702-1418, US
Phone (203) 574-3343
Fax (203) 574-5488
Business Location
71 BRIDLEPATH DR
SOUTHINGTON CT, 06489-4043, US
Phone (860) 628-6677
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 007734
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According to our database, Dr. Joseph Statkevich D.M.D. NPI is 1043366354, taxonomy code is 1223G0001X and license number is 007734, license state is located at Connecticut. Joseph Statkevich D.M.D. physically located at 80 Phoenix Ave, Waterbury CT, 06702-1418. NPI Number Joseph Statkevich D.M.D. has the Individual type.

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1043366354 NPI number is provided on an as is basis without warranty of any kind. 1043366354 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph Statkevich D.M.D. are for informational purposes only.