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Contact Information

AD DENTAL PC
233 POMFRET ST
PUTNAM, CT06260-1835
 Phone: 860-928-5334
 Fax: 860-928-9613
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AD DENTAL PC · (Female)

NPI Number 1649678376
Status Active
Credentials
Entity Individual
Enumeration date 12/11/2014
Last updated 12/11/2014 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • CT License # 010151
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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