Ronald J Albert, D.M.D.

Individual provider Active NPI General Practice Dentistry · Manchester, CT

NPI 1003960360 · NPPES record last updated Jan 29, 2008

Key facts

NPI
1003960360
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
6531 (CT)
Practice address
360 Tolland Tpke
Suite 2B
Manchester, CT 06042-1771
Phone
(860) 649-5000
NPI assigned
Jan 23, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6531CTMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6531 CT Yes

Addresses

Primary practice location

360 Tolland Tpke
Suite 2B
Manchester, CT 06042-1771

Mailing address

360 Tolland Tpke
Suite 2B
Manchester, CT 06042-1771
Phone (860) 649-5000

Other providers in Manchester, CT

All providers in Manchester, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.