Individual
DR. CONWAY MA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12 GOOSE LN, TOLLAND, CT 06084-3400
(860) 875-6269
Mailing address
16 JONES CT, NORWICH, CT 06360-6002
(860) 822-3009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13322
CT
1223G0001X
General Practice Dentistry
DN1857687
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2016
Last updated
12/21/2023
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