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DR. GREGORY NORMAN BEMIS D.M.D.
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1215079363
Individual Registrant:DR. GREGORY NORMAN BEMIS D.M.D.
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
314 W MAIN ST CHESHIRE, CT 06410-2415 US
Tel: 203-250-3446 Fax: 203-250-3446
Tel: 203-250-3446 Fax: 203-250-3446
Contact information for business:
314 W MAIN ST CHESHIRE, CT 06410-2415 US
Tel: 203-250-3446 Fax: --
Tel: 203-250-3446 Fax: --
Registration Information:
NPI: 1215079363
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1223G0001X | Dental Providers Dentist General Practice | NY | 052587 |
| Y | 1223G0001X | Dental Providers Dentist | CT | 10632 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 02801825 | NY | 05 |
