MEDICARE: AMITY DENTAL CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	4640	CT

General Provider Information

NPI Number	:	1043327232
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMITY DENTAL CARE INC

Provider Business Mailing Address
First Line	:	696 AMITY RD STE A3
Second Line	:
City	:	BETHANY
State	:	CT
Zip	:	06524-3006
Country	:	US
Telephone Number	:	203-393-1660
Fax Number	:	203-393-1922

Provider Business Practice Location Address
First Line	:	696 AMITY RD STE A3
Second Line	:
City	:	BETHANY
State	:	CT
Zip	:	06524-3006
Country	:	US
Telephone Number	:	203-393-1660
Fax Number	:	203-393-1922

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PASQUALE PAT NAPPO
Credential	:	D.M.D.
Telephone Number	:	203-393-1660

Provider Enumeration Date	:	08/24/2006
Last Update Date	:	08/22/2020

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Directions to “AMITY DENTAL CARE INC ” Practice Location

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