Blackwell, Andrew Nicholas

Blackwell, Andrew Nicholas is an sole proprietor health care provider with primary practice located at 387 Main St S , Woodbury CT 06798-3412. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Blackwell, Andrew Nicholas can be contacted via phone (203) 263-5300.

Contact Information

Primary practice address
387 Main St S Woodbury CT 06798-3412
Phone: (203) 263-5300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 11-610 Connecticut

Profile Details

NPI number 1801281241
LBN Legal business name Blackwell, Andrew Nicholas
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2015
Last updated Dec 3rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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