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DR. MICHAEL THOMAS DEPASCALE DMD, MS
Orthodontics and Dentofacial Orthopedics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1043747116
Individual Registrant:DR. MICHAEL THOMAS DEPASCALE DMD, MS
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
117 COW HILL RD MYSTIC, CT 06355-1449 US
Tel: 860-536-9661 Fax: --
Tel: 860-536-9661 Fax: --
Contact information for business:
1231 VAN BUREN DR ANNAPOLIS, MD 21403-2132 US
Tel: 201-906-5458 Fax: --
Tel: 201-906-5458 Fax: --
Registration Information:
NPI: 1043747116
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223X0400X | Dental Providers Dentist Orthodontics and Dentofacial Orthopedics | CT | 11807 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
