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Contact Information

GREGORY M GAZZOLA, DMD
520 RIVERSIDE DRIVE
GROSVENOR DALE, CT06246
 Phone: 860-923-2202
 Fax: 860-923-9956
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GREGORY M GAZZOLA · (Male)

NPI # 1124185038
Status Active
Credentials DMD (Doctor of Medical Dentistry)
Entity Individual
Enumeration date 01/02/2007
Last updated 09/25/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 7071
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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