Mcginn, Walter Phillip

Mcginn, Walter Phillip is an individual health care provider with primary practice located at 153 Grove St , Putnam CT 06260-2115. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Mcginn, Walter Phillip can be contacted via phone (860) 928-3723.

Contact Information

Primary practice address
153 Grove St Putnam CT 06260-2115
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 8004 Connecticut
Dental Providers / General Practice 1223G0001X 8004 Connecticut

Profile Details

NPI number 1710032446
LBN Legal business name Mcginn, Walter Phillip
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jun 11th, 2013 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710032446 NPPES
Connecticut MEDICAID 004397750

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