Individual
MR. MATTHEW PAUL CACECI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
30 BRIDGE ST STE 303, NEW MILFORD, CT 06776-3517
(586) 035-4960
(860) 355-4072
Mailing address
30 BRIDGE ST STE 303, NEW MILFORD, CT 06776-3517
(860) 354-9600
(860) 355-4072
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11837
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11837
LICENSE
CT
Enumeration date
06/21/2017
Last updated
07/21/2022
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