Ma, Conway

Ma, Conway is an sole proprietor health care provider with primary practice located at 12 Goose Ln , Tolland CT 06084-3400. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program. Dental Providers / General Practice is his primary health care specialty. Ma, Conway can be contacted via phone (860) 875-6269.

Contact Information

Primary practice address
12 Goose Ln Tolland CT 06084-3400
Phone: (860) 875-6269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DN1857687 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X 13322 Connecticut

Profile Details

NPI number 1891156816
LBN Legal business name Ma, Conway
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 18th, 2016
Last updated Dec 21st, 2023 - about 3 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

Popular Providers