Healthcare Provider Details

I. General information

NPI: 1235617283
Provider Name (Legal Business Name): ANTHONY J BUONO DMD, MDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2018
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 PEARL ST STE 201
NEW BRITAIN CT
06051-2645
US

IV. Provider business mailing address

35 PEARL ST STE 201
NEW BRITAIN CT
06051-2645
US

V. Phone/Fax

Practice location:
  • Phone: 860-225-5555
  • Fax:
Mailing address:
  • Phone: 978-790-1319
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number13619
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: