Housatonic Valley Dental Care
Organization Active NPI Dental Clinic/Center · Canaan, CT
NPI 1023423399 · NPPES record last updated Jun 25, 2014
Key facts
- NPI
- 1023423399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 10357 (CT)
- Legal business name
- HOUSATONIC VALLEY DENTAL CARE
- Practice address
- 60 Church Street
Canaan, CT 06018 - Phone
- (860) 559-2664
- NPI assigned
- Jun 25, 2014
- Organization subpart
- No
Authorized official
- Name
- John Dannon
- Title
- President
- Phone
- (860) 559-2664
Practitioners 2
-
Robert James Bird Jr., D.D.S.
-
John Dannon, DMD
National Provider Directory
Locations
60 Church St
Canaan, CT 06018
Phone (860) 559-2664
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 10357 | CT | Yes |
Addresses
Primary practice location
60 Church Street
Canaan, CT 06018
Mailing address
60 Church St
Canaan, CT 06018-2481
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008032193 | Medicaid | CT |
Other providers in Canaan, CT
- Hancock Pharmacy at Canaan, Inc.
- Sophia Hartell
- Edward Heacox
- Alexandra Helfer
- Devin Hill
- Sarah Hoyle
- Shannon Elizabeth Hutchinson
- Kimberly Eileen Jackman
- Bruce D Janelli
- Janet Downes LCSW LLC
All providers in Canaan, CT · Dental Clinic/Center in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.