| Daniel W. Tracy, Iii D.m.d., P.c. | |
|
100 Fanning Ave Norwich CT 06360-2943 | |
| (860) 892-4996 | |
| Not Available |
| Full Name | Daniel W. Tracy, Iii D.m.d., P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Fanning Ave, Norwich, Connecticut |
| Authorized Official Name and Position | Daniel Wolcott Tracy (PRESIDENT) |
| Authorized Official Contact | 8608924996 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel W. Tracy, Iii D.m.d., P.c. 100 Fanning Ave Norwich CT 06360-2943 Ph: (860) 892-4996 | Daniel W. Tracy, Iii D.m.d., P.c. 100 Fanning Ave Norwich CT 06360-2943 Ph: (860) 892-4996 |
| NPI Number | 1023100401 |
|---|---|
| Provider Enumeration Date | 09/29/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023100401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7736 (Connecticut) | Primary |
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