Individual provider · Type 1 NPI
James D. Affenito, DMD
Oral and Maxillofacial Surgery (Dentist) · Bristol, CT
NPI number
1164517033
Active
Practice location
391 Main St
Bristol, CT 06010-5848
Fax (860) 585-0251
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 7490 (CT) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1164517033
James D. Affenito, DMD's National Provider Identifier is 1164517033, issued on Oct 4, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Bristol, CT. The record was last updated on Jan 14, 2008.