Windsor Locks Dental Care LLC

Organization Active NPI General Practice Dentistry · Windsor Locks, CT

NPI 1881859809 · NPPES record last updated Jul 21, 2008

Key facts

NPI
1881859809
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
WINDSOR LOCKS DENTAL CARE LLC
Practice address
73 Old County Rd
Windsor Locks, CT 06096-1564
Phone
(860) 627-9784
Fax
(860) 654-1679
NPI assigned
Jul 21, 2008
Organization subpart
No

Authorized official

Name
Dr. Fotios Moumoulidis, D.M.D.
Title
Sole Proprietor
Phone
(860) 627-9784

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

73 Old County Rd
Windsor Locks, CT 06096
Phone (860) 627-0161

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X SINGLE SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

73 Old County Rd
Windsor Locks, CT 06096-1564

Mailing address

73 Old County Rd
Windsor Locks, CT 06096-1564
Phone (860) 627-9784

Other providers in Windsor Locks, CT

All providers in Windsor Locks, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.