DR. ROBERT HAROLD PAVALOCK DMD NPI 1013196385

NPI Information

  • NPI: 1013196385
  • Provider Name: DR. ROBERT HAROLD PAVALOCK, DMD
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 138 MAIN ST
    TERRYVILLE, CT
    ZIP 06786
  • Phone: (860) 582-3176

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NPI Details

DR. Robert Harold Pavalock, DMD is a general practice dentist in Terryville, 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. DR. Robert Harold Pavalock, DMD NPI is 1013196385. 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:

138 MAIN ST
TERRYVILLE, CT
ZIP 06786
Phone: (860) 582-3176
Fax: (860) 584-1917

The enumeration date for this NPI number is 11/2/2007 and was last updated on 11/2/2007.

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
11223G0001XDentistGeneral Practice4907CONNECTICUTYes

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: 11/21/2025

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