Donald A Amaro, DDS
Individual provider Active NPI Oral and Maxillofacial Pathology Dentistry · Norwich, CT
NPI 1164416699 · NPPES record last updated Apr 9, 2008
Key facts
- NPI
- 1164416699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Oral and Maxillofacial Pathology Dentistry 1223P0106X
- License
- 004073 (CT)
- Practice address
- 130 New London Tpke
Norwich, CT 06360-2624 - Phone
- (860) 886-0651
- Fax
- (860) 823-1577
- NPI assigned
- Sep 12, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004073 | CT | MD | Oral and Maxillofacial Pathology Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| GM Surgical Associates LLC | Past | Accepting new patients | |
| Norwich Oral & Maxillofacial Surgeons, PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Pathology Dentistry | 1223P0106X | 004073 | CT | Yes |
Addresses
Primary practice location
130 New London Tpke
Norwich, CT 06360-2624
Mailing address
130 New London Tpke
Norwich, CT 06360-2624
Phone (860) 886-0651
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5477144 | Other | CT | AETNA MEDICAL PROVIDER ID |
| 020004073CT01 | Other | CT | BC/BS PROVIDER ID # |
Other providers in Norwich, CT
- Kristina Rae Almonte
- Melissa Rae Alsup
- Chikezie Alvarez
- Amanda Jelden, LCSW LLC
- Rachael V Amaral
- Matthew D Amaro
- American Ambulance Service, Inc.
- American Current Care P.a.
- American Current Care, P.a.
- Rita Cecile Ammons
All providers in Norwich, CT · Oral and Maxillofacial Pathology Dentistry in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2008. 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.