Provider Type Icon

ROBERT J. MAILLOUX DMD NPI 1902053531


NPI Information

NPI: 1902053531
Provider Name: ROBERT J. MAILLOUX DMD
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
397 NEW BRITAIN AVE
HARTFORD, CT
ZIP 06106
Phone: (860) 247-1021
Get Directions

ROBERT J. MAILLOUX DMD is a general practice dentist in Hartford, CT. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ROBERT J. MAILLOUX DMD NPI is 1902053531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

397 NEW BRITAIN AVE
HARTFORD, CT
ZIP 06106-833
Phone: (860) 247-1021
Fax: (860) 724-2379

The provider's authorized official is Robert J. Mailloux .
The authorized official title is Owner and has the following contact phone number (860) 247-1021.

The enumeration date for this NPI number is 8/26/2008 and was last updated on 7/5/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice5868CONNECTICUTYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002058683MEDICAIDCONNECTICUT
2008001793MEDICAIDCONNECTICUT

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.