Organization
AVON CENTER DENTISTRY
Active
Parent organization
HEBRON CENTER DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEBRON CENTER DENTISTRY
Authorized official
JAMES BUSSIERE DMD (OWNER)
(860) 404-5494
Entity
Organization
Contact information
Practice address
19 ENSIGN DRIVE, AVON, CT 06001
(860) 404-5494
(860) 404-5582
Mailing address
19 ENSIGN DR, AVON, CT 06001-3705
(860) 404-5494
(860) 404-5582
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7753
CT
1223P0300X
Periodontics
7753
CT
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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