Individual
DR. MARIE C FAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
42 W PURCHASE RD, SOUTHBURY, CT 06488-1002
(203) 405-1242
Mailing address
42 W PURCHASE RD, SOUTHBURY, CT 06488-1002
(203) 405-1242
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
006915
CT
1223G0001X
General Practice Dentistry
6915
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002069153
—
CT
Enumeration date
07/29/2005
Last updated
10/03/2013
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