Individual
KEVIN PURVIANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
61 SOUTH MAIN SREET, 301, WEST HARTFORD, CT 06107-1944
(860) 236-2566
(860) 236-2282
Mailing address
61 SOUTH MAIN SREET, 301, WEST HARTFORD, CT 06107-1944
(860) 236-2566
(860) 236-2282
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9313
CT
Other
Enumeration date
01/27/2007
Last updated
12/27/2016
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