Individual
JAMES WALTER BUSSIERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
20 LIBERTY DR, HEBRON, CT 06248
(860) 228-7878
(860) 228-4488
Mailing address
PO BOX 752, 20 LIBERTY DR, HEBRON, CT 06248
(860) 228-7878
(860) 228-4488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7753
CT
1223P0300X
Periodontics
007753
CT
Other
Enumeration date
01/08/2007
Last updated
05/22/2013
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