DR. Andrew C Fossum, D.D.S. is a student in an organized health care education training program in Farmington, CT. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Andrew C Fossum, D.D.S. NPI is 1699921403. 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:
263 FARMINGTON AVE
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-2000
The NPI 1699921403 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).
The enumeration date for this NPI number is 8/12/2008 and was last updated on 7/8/2016.