Organization
WALNUT DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD PACHELLO (CHIEF REVENUE OFFICER)
(720) 475-6482
Entity
Organization
Contact information
Practice address
272 FRANKLIN AVE, HARTFORD, CT 06114-1848
(860) 296-5437
Mailing address
297 UNION AVE, FRAMINGHAM, MA 01702-6337
(978) 580-1524
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0221X
Pediatric Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/10/2014
Last updated
03/10/2026
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