Orthodontic Associates Of Southeastern Connecticut, P.c.

NPI 1275734824 - Dentist - 1223X0400X

NPI Details
NPI 1275734824
Enumeration Date 05/30/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GREGORY ADRIAN GREGORY
Position ORTHODONTIST PARTNER
Phone (860) 443-1827
Fax (860) 443-1745
Practice Location
196 PARKWAY S
SUITE 305
WATERFORD CT, 06385-1234, US
Phone (860) 443-1827
Fax (860) 443-1745
Business Location
196 PARKWAY S
SUITE 305
WATERFORD CT, 06385-1234, US
Phone (860) 443-1827
Fax (860) 443-1745
Toxanomy
Taxonomy Code 1223X0400X
License State Connecticut
License Number 007723
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According to our database, Orthodontic Associates Of Southeastern Connecticut, P.c. NPI is 1275734824, taxonomy code is 1223X0400X and license number is 007723, license state is located at Connecticut. Orthodontic Associates Of Southeastern Connecticut, P.c. physically located at 196 Parkway S, Waterford CT, 06385-1234. NPI Number 1033115704 has the healthcare provider type.

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1275734824 NPI number is provided on an as is basis without warranty of any kind. 1275734824 is maintained by the National Plan & Provider Enumeration System. The contents of Orthodontic Associates Of Southeastern Connecticut, P.c. are for informational purposes only.