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PRINDIVILLE PERACCHIO & SAUNDERS DMD PC NPI 1174736920


NPI Information

NPI: 1174736920
Provider Name: PRINDIVILLE, PERACCHIO & SAUNDERS, DMD PC
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
945 MAIN ST
SUITE 310
MANCHESTER, CT
ZIP 06040
Phone: (860) 647-9926
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PRINDIVILLE, PERACCHIO & SAUNDERS, DMD PC is an oral and maxillofacial surgery dentist in Manchester, CT. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PRINDIVILLE, PERACCHIO & SAUNDERS, DMD PC NPI is 1174736920. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

945 MAIN ST
SUITE 310
MANCHESTER, CT
ZIP 06040-064
Phone: (860) 647-9926
Fax: (860) 645-7723

The provider's authorized official is Paul C Peracchio .
The authorized official title is Treasurer and has the following contact phone number (860) 647-9926.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 5/1/2008.


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
11223S0112XDentistOral and Maxillofacial Surgery7708CONNECTICUTNo
21223S0112XDentistOral and Maxillofacial Surgery8903CONNECTICUTNo
31223S0112XDentistOral and Maxillofacial Surgery4845CONNECTICUTYes

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
1U96303MEDICARE UPINCONNECTICUT
2U37718MEDICARE UPINCONNECTICUT
3T23420MEDICARE UPINCONNECTICUT
4190000941MEDICARE PINCONNECTICUT
5190000792MEDICARE PINCONNECTICUT
6190000475MEDICARE PINCONNECTICUT

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

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