Pavalock, Robert Harold

Pavalock, Robert Harold is an individual health care provider with primary practice located at 138 Main St , Terryville CT 06786. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Pavalock, Robert Harold can be contacted via phone (860) 582-3176.

Contact Information

Primary practice address
138 Main St Terryville CT 06786
Phone: (860) 582-3176
Fax: (860) 584-1917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 4907 Connecticut

Profile Details

NPI number 1013196385
LBN Legal business name Pavalock, Robert Harold
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2007
Last updated Nov 2nd, 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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