C. Scott Buonanno DMD & Associates PC

Organization Active NPI General Practice Dentistry · Kensington, CT

NPI 1720201569 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1720201569
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
007776 (CT)
Legal business name
C. SCOTT BUONANNO DMD & ASSOCIATES PC
Practice address
1105 Farmington Ave
Kensington, CT 06037-2241
Phone
(860) 828-4189
Fax
(860) 828-4180
NPI assigned
Apr 10, 2007
Organization subpart
No

Authorized official

Name
Dr. Constantine Scott Buonanno, DMD
Title
President
Phone
(860) 828-4189

Practitioners 1

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

National Provider Directory

Locations

1105 Farmington Ave
Kensington, CT 06037
Phone (860) 818-4189

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X 007776 CT Yes

Addresses

Primary practice location

1105 Farmington Ave
Kensington, CT 06037-2241

Mailing address

1105 Farmington Ave
Kensington, CT 06037-2241
Phone (860) 828-4189

Other providers in Kensington, CT

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

Sources for this page

Verify at the official NPI Registry.