Niantic Dental Associates PC

Organization Active NPI General Practice Dentistry · Niantic, CT

NPI 1376652958 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1376652958
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
NIANTIC DENTAL ASSOCIATES PC
Practice address
177 Flanders Rd
Niantic, CT 06357-1203
Phone
(860) 739-3401
Fax
(860) 739-9750
NPI assigned
Aug 29, 2006
Organization subpart
No

Authorized official

Name
Dr. David L Goldschneider, DDS
Title
Vice-President
Phone
(860) 739-3401

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

177 Flanders Rd
Niantic, CT 06357
Phone (860) 739-3401

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

177 Flanders Rd
Niantic, CT 06357-1203

Mailing address

PO Box 503
Niantic, CT 06357-0503
Phone (860) 739-3401

Other providers in Niantic, CT

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

Sources for this page

Verify at the official NPI Registry.