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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. EDWARD PAUL WYSOCKI JR., D.M.D.

Active Sole Proprietor

DR. EDWARD PAUL WYSOCKI JR., D.M.D. is a Dentist healthcare provider located in PORTLAND, Connecticut. NPI 1265693907 is currently active in the NPPES registry. Verify at CMS.

Dentist · PORTLAND, CT

Registration Details

NPI Number
1265693907
Provider Type
Individual
Gender
Male
NPI Issued
Jun 24, 2008 (17.993667128253 yrs)
Last Updated
Jul 29, 2008
License
4929 (CT)
Sole Proprietor
Yes

Practice Information

Address
229 MAIN ST
PORTLAND, CT, 064801858
Browse CT providers · Browse ZIP 06480
Phone
8603422516
Primary Specialty
Dentist
122300000X

Other Dentist Providers in PORTLAND, CT

Name Credential NPI
DR. RICHARD BRIAN MORSE DDS 1013023878
PETER GLETZAKOS DMD 1669581369
DR. KENT HUYNH DMD 1720390701
DR. YIANNIS ZANNIS GAZIS DDS 1720724768
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.