Individual provider · Type 1 NPI
Douglas J. Macko, DMD
Pediatric Dentistry · Southington, CT
NPI number
1881744092
Active
Practice location
55 Meriden Avenue, Suite 3F
Southington, CT 06489
Fax (860) 628-2459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 004917 (CT) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Other pediatric dentistry providers in Southington
About NPI 1881744092
Douglas J. Macko, DMD's National Provider Identifier is 1881744092, issued on Jan 11, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Southington, CT. The record was last updated on Jul 8, 2007.