MEDICARE: COLLIN B SANFORD D.M.D.

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	020005127	CT

General Provider Information

NPI Number	:	1124029665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLLIN B SANFORD D.M.D.

Provider Business Mailing Address
First Line	:	44 DALE RD
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-3676
Country	:	US
Telephone Number	:	860-677-6405
Fax Number	:	860-677-1189

Provider Business Practice Location Address
First Line	:	44 DALE RD
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-3612
Country	:	US
Telephone Number	:	860-677-6405
Fax Number	:	860-677-1189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2005
Last Update Date	:	02/24/2016

Similar Medicare Providers

1164423554 — A. LIAM DORAN D.M.D.
Practice Location Address:

44 DALE RD
AVON, CT
06001-3612

Practice Phone: 860-677-6405
Practice Fax: 860-677-1189

1831190370 — SHELDON S. HAUSMAN D.M.D
Practice Location Address:

44 DALE RD
AVON, CT
06001-3612

Practice Phone: 860-677-6405
Practice Fax: 860-677-1189

1144207853 — ANTHONY ZALDONIS MD
Practice Location Address:

44 DALE RD , PRIME HEALTHCARE
AVON, CT
06001-3612

Practice Phone: 860-674-8830
Practice Fax: 860-674-8984

1639156250 — RONALD JOSEPHSON MD
Practice Location Address:

44 DALE RD , PRIME HEALTHCARE
AVON, CT
06001-3612

Practice Phone: 860-674-8830
Practice Fax: 860-674-8984

1578540100 — BRIAN M VAN LINDA MD
Practice Location Address:

44 DALE RD , PRIME HEALTHCARE
AVON, CT
06001-3612

Practice Phone: 860-674-8830
Practice Fax: 860-674-8984

1407833106 — SYBIL LEE SANDOVAL MD
Practice Location Address:

44 DALE RD , PRIME HEALTHCARE
AVON, CT
06001-3612

Practice Phone: 860-674-8830
Practice Fax: 860-674-8984

Directions to “ COLLIN B SANFORD D.M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.