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JAMES WALTER BUSSIERE DMD
Periodontics >> Dentist >> Dental ProvidersRegistrant NPI Number: 1841348554
Individual Registrant: JAMES WALTER BUSSIERE DMD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
20 LIBERTY DR HEBRON, CT 06248 US
Tel: 860-228-7878 Fax: 860-228-4488
Tel: 860-228-7878 Fax: 860-228-4488
Contact information for business:
PO BOX 752 20 LIBERTY DR HEBRON, CT 06248 US
Tel: 860-228-7878 Fax: 860-228-4488
Tel: 860-228-7878 Fax: 860-228-4488
Registration Information:
NPI: 1841348554
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 1223P0300X | Dental Providers Dentist Periodontics | CT | 007753 |
| Y | 1223G0001X | Dental Providers Dentist | CT | 7753 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
