Daniel W. Tracy, Iii D.m.d., P.c.

NPI 1023100401 - Dentist - 1223G0001X

NPI Details
NPI 1023100401
Enumeration Date 09/29/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DANIEL WOLCOTT DANIEL
Position PRESIDENT
Phone (860) 892-4996
Fax
Practice Location
100 FANNING AVE
NORWICH CT, 06360-2943, US
Phone (860) 892-4996
Fax
Business Location
100 FANNING AVE
NORWICH CT, 06360-2943, US
Phone (860) 892-4996
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 7736
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According to our database, Daniel W. Tracy, Iii D.m.d., P.c. NPI is 1023100401, taxonomy code is 1223G0001X and license number is 7736, license state is located at Connecticut. Daniel W. Tracy, Iii D.m.d., P.c. physically located at 100 Fanning Ave, Norwich CT, 06360-2943. NPI Number 1033115704 has the healthcare provider type.

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1023100401 NPI number is provided on an as is basis without warranty of any kind. 1023100401 is maintained by the National Plan & Provider Enumeration System. The contents of Daniel W. Tracy, Iii D.m.d., P.c. are for informational purposes only.