Michael T Goupil, DDS is a
Oral & Maxillofacial Surgery based in Farmington, Connecticut. Michael T Goupil is licensed to practice in Connecticut (license number 007846) and his current practice location is
263 Farmington Ave, Farmington, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(860) 679-3300.
NPI number for Michael T Goupil is 1407851116 and his current mailing address is 263 Farmington Ave, Mc3915, Farmington, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1407851116.
Healthcare Provider's Profile
| Full Name | Michael T Goupil |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 263 Farmington Ave, Farmington, Connecticut |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1407851116
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 04/12/2013
Medical Identifiers
Medical identifiers for Michael T Goupil such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407851116 | NPI | - | NPPES |
| 2078469 | Medicaid | CT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 007846 (Connecticut) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 007846 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael T Goupil is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael T Goupil, DDS
263 Farmington Ave, Mc3915,
Farmington, CT 06030-3915
Ph: (860) 679-2808 | Michael T Goupil, DDS
263 Farmington Ave,
Farmington, CT 06030-0001
Ph: (860) 679-3300 |
Reviews and Comments