Edward G Duval, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

005784 Issued in CT

Practice address

26 Dorrance St
Danielson, CT 06239-3609

Phone

(860) 774-7544

Fax

(860) 779-2299

NPI assigned

May 20, 2008

Last updated

May 20, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1407013147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 DORRANCE ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062393609",
            "telephone_number": "860-774-7544",
            "fax_number": "860-779-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 DORRANCE ST",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062393609",
            "telephone_number": "860-774-7544",
            "fax_number": "860-779-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVAL",
        "first_name": "EDWARD",
        "middle_name": "G",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "005784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamra J Davis
• Joseph Arthur Deangelis, M.A.
• Lindsay Delaire, CNM
• Jessica Delaney, MS, LMFT
• Discovery Counseling Services
• Lacey Elton, LCSW
• Stephanie Erica Farmer, PA-C
• Daniel E Fiore, R.PH.
• Freedom Lifts LLC
• Full Circle Family Services at White Brook Farm, LLC

• General Practice Dentistry in Danielson, CT
• Providers in Danielson, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.