Individual provider · Type 1 NPI

Mason Cleary Ditthardt Fortuno, DMD

General Practice Dentistry · Groton, CT

NPI number 1558983296 Active

Practice location

1 Wahoo Ave
Groton, CT 06349-2324

Call (860) 694-2377 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XDN25001 (FL)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1558983296

Mason Cleary Ditthardt Fortuno, DMD's National Provider Identifier is 1558983296, issued on May 15, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Groton, CT. The record was last updated on Sep 25, 2024.