Gil David Boisoneau, DDS
Individual provider Active NPI General Practice Dentistry · Manchester, CT
NPI 1578612909 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1578612909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3810 (CT)
- Practice address
- 229 E Center St
Manchester, CT 06040-5207 - Phone
- (860) 643-0688
- NPI assigned
- Jan 8, 2007
- 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)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3810 | CT | Yes |
Addresses
Primary practice location
229 E Center St
Manchester, CT 06040-5207
Mailing address
229 E Center St
Manchester, CT 06040-5207
Phone (860) 643-0688
Other providers in Manchester, CT
- Eunice Boakye
- Donna M. Boccelli
- Scott A. Boden
- Carol Boggs Bernier
- Matthew Paul Bohonowicz
- Andreas John Bojko
- Amaria D Boland
- Christina Marie Bolduc Falzone
- Natasha Bolorin
- Aimee Bombara
All providers in Manchester, 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 Jul 8, 2007. 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.