Individual
DR. DANIEL JOHN GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
34 DALE RD, SUITE 105, AVON, CT 06001-3659
(860) 674-8079
(860) 676-8242
Mailing address
22 RAVENWOOD RD, WEST HARTFORD, CT 06107-1538
(860) 904-5520
(860) 676-8242
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
010169
CT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
052166
CT
Other
Enumeration date
07/11/2007
Last updated
01/14/2014
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