Distefano, John Norman
Distefano, John Norman is an sole proprietor health care provider with primary practice located at 150 Sycamore St , Glastonbury CT 06033-2295. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Distefano, John Norman can be contacted via phone (860) 633-1635.Contact Information
Primary practice address
150 Sycamore St
Glastonbury CT 06033-2295
Phone: (860) 633-1635
Fax: (860) 633-1758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6506 | Connecticut |
Profile Details
| NPI number | 1336239565 |
|---|---|
| LBN Legal business name | Distefano, John Norman |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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