MEDICARE: DR. JAMES NAYLOR D.D.S.

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	1223P0300X	Periodontics	003920	CT

General Provider Information

NPI Number	:	1427107572
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES NAYLOR D.D.S.

Provider Business Mailing Address
First Line	:	1080 DAY HILL RD
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-1781
Country	:	US
Telephone Number	:	860-683-0243
Fax Number	:	860-683-1157

Provider Business Practice Location Address
First Line	:	1080 DAY HILL RD
Second Line	:
City	:	WINDSOR
State	:	CT
Zip	:	06095-1781
Country	:	US
Telephone Number	:	860-683-0243
Fax Number	:	860-683-1157

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

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	07/08/2007

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