Organization · Type 2 NPI

Family Dental Practice of Newington

Periodontics · Newington, CT

NPI number 1164567111 Active

Practice location

375 Willard Ave
Newington, CT 06111-2300

Fax (860) 665-1465

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X4731 (CT)
Dentist 122300000X5832 (CT)
Periodontics Primary 1223P0300X5407 (CT)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

19 other providers at this address

About NPI 1164567111

Family Dental Practice of Newington's National Provider Identifier is 1164567111, issued on Feb 20, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Newington, CT. The record was last updated on Sep 11, 2025.