Individual
DR. DANTE E GULINO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS., MD.
Contact information
Practice address
495 GOLD STAR HWY, SUITE 205, GROTON, CT 06340-6228
(860) 449-1023
Mailing address
495 ROUTE 184, SUITE 205, GROTON, CT 06340
(860) 449-1023
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
008353
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008353
PROVIDER #
CT
01
—
020008353CT01
ANTHEM PROVIDER #
CT
01
—
1369886
UNITED CONCORDIA #
CT
01
—
CV5432
ACS HEALTHNET #
CT
Enumeration date
07/13/2006
Last updated
03/07/2023
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