DR. ANDREW JOSEPH PONICHTERA D.M.D. NPI 1831304930

NPI Information

NPI: 1831304930
Provider Name: DR. ANDREW JOSEPH PONICHTERA, D.M.D.
Classification: Dentist - 1223P0700X
Entity Type: Individual

Specialization: Prosthodontics

Address:
373 HOPMEADOW ST
WEATOGUE, CT
ZIP 06089
Phone: (860) 651-3319
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DR. Andrew Joseph Ponichtera, D.M.D. is a prosthodontics dentist in Weatogue, CT. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Andrew Joseph Ponichtera, D.M.D. NPI is 1831304930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

373 HOPMEADOW ST
WEATOGUE, CT
ZIP 06089-717
Phone: (860) 651-3319
Fax: (860) 651-3314

The enumeration date for this NPI number is 5/11/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	006807	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	U93335	MEDICARE UPIN	CONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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