Individual
NAMITA KHANDELWAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BDS, MS
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-2656
(860) 679-3710
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-1710
(860) 679-3170
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
14633
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366656100
NPI
ME
Enumeration date
12/12/2014
Last updated
11/25/2025
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