Organization
WALNUT DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXA STAPIN (HR SPECIALIST)
(508) 872-3072
Entity
Organization
Contact information
Practice address
80 TOWN LINE RD STE 7C, ROCKY HILL, CT 06067-1249
(000) 000-0000
Mailing address
5 MOUNT ROYAL AVE STE 300, MARLBOROUGH, MA 01752-1900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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