=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104822477
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARGARET DROZDOWSKI MAULE DMD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/22/2005
-----------------------------------------------------
Last Update Date | 06/22/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6 PARK PL STE 2
-----------------------------------------------------
City | NEW BRITAIN
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06052-1403
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-233-0552
-----------------------------------------------------
Fax | 860-233-9614
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 342 N MAIN ST
-----------------------------------------------------
City | WEST HARTFORD
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06117-2500
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-233-0552
-----------------------------------------------------
Fax | 860-233-9614
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 008530
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------