Healthcare Provider Details

I. General information

NPI: 1073402939
Provider Name (Legal Business Name): MEGAN ANN MCNABB DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

148 NORTH RD
EAST WINDSOR CT
06088-9502
US

IV. Provider business mailing address

467 S ELM ST
WALLINGFORD CT
06492-4802
US

V. Phone/Fax

Practice location:
  • Phone: 860-627-5232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN30488
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number14852
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: