James Walter Bussiere, DMD
Individual provider Active NPI General Practice Dentistry · Hebron, CT
NPI 1841348554 · NPPES record last updated May 22, 2013
Key facts
- NPI
- 1841348554
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 7753 (CT)
- Practice address
- 20 Liberty Dr
Hebron, CT 06248 - Phone
- (860) 228-7878
- Fax
- (860) 228-4488
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007753 | CT | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hebron Dentistry PC | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 007753 | CT | |
| General Practice Dentistry | 1223G0001X | 7753 | CT | Yes |
Addresses
Primary practice location
20 Liberty Dr
Hebron, CT 06248
Mailing address
PO Box 752
20 Liberty Dr
Hebron, CT 06248
Phone (860) 228-7878
Other providers in Hebron, CT
- Aaliyah Jordan Black
- Borys Averbukh DMD PLLC
- Katelyn Boutwell
- John Joseph Brier
- Kari Burgess
- Jayne Carlman
- Central Connecticut Psychotherapy LLC
- Amber Saleem Cheema
- Andrew Cloutier
- Connecticut CVS Pharmacy LLC
All providers in Hebron, 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 22, 2013. 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.