Individual
DR. MICHAEL M. GREENWALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
850 NORTH MAIN ST. EXTENSION, BUILDING 2, SUITE 1-D, WALLINGFORD, CT 06492-4214
(203) 265-3005
Mailing address
850 NORTH MAIN ST. EXTENSION, BUILDING 2, SUITE 1-D, WALLINGFORD, CT 06492-4214
(203) 265-3005
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
041599
NY
1223G0001X
General Practice Dentistry
Primary
CT 7481
CT
Other
Enumeration date
02/22/2007
Last updated
05/08/2026
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