Individual
DR. ANTHONY JOHN DEFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20-30 BEAVER RD STE 102, WETHERSFIELD, CT 06109-2244
(860) 721-7428
Mailing address
20-30 BEAVER RD STE 102, WETHERSFIELD, CT 06109-2244
(860) 721-7428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13206
CT
390200000X
Student in an Organized Health Care Education/Training Program
000000000
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1508971557
NPI
CT
Enumeration date
03/24/2020
Last updated
09/02/2021
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