Goodwin Family Dentistry

NPI 1053642975 - Dentist - 1223G0001X

NPI Details
NPI 1053642975
Enumeration Date 01/15/2010
Last Updated 01/15/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name STEVEN MORGAN STEVEN
Position OWNER
Phone (860) 376-4483
Fax
Practice Location
25A E MAIN ST
JEWETT CITY CT, 06351-2108, US
Phone (860) 376-4483
Fax
Business Location
25A E MAIN ST
JEWETT CITY CT, 06351-2108, US
Phone (860) 376-4483
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Connecticut
License Number 009080
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According to our database, Goodwin Family Dentistry NPI is 1053642975, taxonomy code is 1223G0001X and license number is 009080, license state is located at Connecticut. Goodwin Family Dentistry physically located at 25a E Main St, Jewett City CT, 06351-2108. NPI Number 1033115704 has the healthcare provider type.

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1053642975 NPI number is provided on an as is basis without warranty of any kind. 1053642975 is maintained by the National Plan & Provider Enumeration System. The contents of Goodwin Family Dentistry are for informational purposes only.