Daley, Amanda M

Daley, Amanda M is an individual health care provider with primary practice located at 47 Town St , Norwich CT 06360-2315. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Daley, Amanda M can be contacted via phone (860) 892-7042.

Contact Information

Primary practice address
47 Town St Norwich CT 06360-2315
Phone: (860) 892-7042
Fax: (860) 823-3060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN1855547 Massachusetts
Dental Providers / General Practice 1223G0001X 010419 Connecticut

Profile Details

NPI number 1922302165
LBN Legal business name Daley, Amanda M
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2011
Last updated Mar 27th, 2012 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922302165 NPPES
Connecticut MEDICAID 008031899

Popular Providers