Edward G Duval, D.M.D.
Individual provider Active NPI General Practice Dentistry · Danielson, CT
NPI 1407013147 · NPPES record last updated May 20, 2008
Key facts
- NPI
- 1407013147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 005784 (CT)
- Practice address
- 26 Dorrance St
Danielson, CT 06239-3609 - Phone
- (860) 774-7544
- Fax
- (860) 779-2299
- NPI assigned
- May 20, 2008
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005784 | CT | MD | Clinical Social Worker |
| 5784 | CT | MD | Oncology Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 005784 | CT | Yes |
Addresses
Primary practice location
26 Dorrance St
Danielson, CT 06239-3609
Mailing address
26 Dorrance St
Danielson, CT 06239-3609
Phone (860) 774-7544
Other providers in Danielson, CT
- Tamra J Davis
- Joseph Arthur Deangelis
- Lindsay Delaire
- Jessica Delaney
- Discovery Counseling Services
- Lacey Elton
- Stephanie Erica Farmer
- Daniel E Fiore
- Freedom Lifts LLC
- Full Circle Family Services at White Brook Farm, LLC
All providers in Danielson, CT · General Practice 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 May 20, 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.