Individual
DR. RICHARD V NIEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
211 NEW BRITAIN RD, SUITE 205, KENSINGTON, CT 06037-1360
(860) 224-7146
(860) 827-4632
Mailing address
211 NEW BRITAIN RD, SUITE 205, KENSINGTON, CT 06037-1360
(860) 224-7146
(860) 827-4632
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4420
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020004420CT01
BCBS MEDICAL
CT
01
—
060915415
PROVIDER NUMBER
CT
Enumeration date
07/05/2006
Last updated
01/05/2012
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