MEDICARE: DR. ROBERT JOSEPH DESS DMD

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	122300000X	Dentist	6882	CT

General Provider Information

NPI Number	:	1598756462
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JOSEPH DESS DMD

Provider Business Mailing Address
First Line	:	70 W MAIN ST
Second Line	:	STE 207
City	:	NEW BRITAIN
State	:	CT
Zip	:	06051-4224
Country	:	US
Telephone Number	:	860-223-7044
Fax Number	:	860-223-7905

Provider Business Practice Location Address
First Line	:	70 W MAIN ST
Second Line	:	STE 207
City	:	NEW BRITAIN
State	:	CT
Zip	:	06051-4224
Country	:	US
Telephone Number	:	860-223-7044
Fax Number	:	860-223-7905

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

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	07/08/2007

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