Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS J MACKO, DMD
ActiveDR. DOUGLAS J MACKO, DMD is a Pediatric Dentistry healthcare provider located in SOUTHINGTON, Connecticut. NPI 1881744092 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · SOUTHINGTON, CT
Registration Details
- NPI Number
- 1881744092
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2007 (19.614046181253 yrs)
- Last Updated
- Jul 8, 2007
- License
-
004917 (CT)
Practice Information
- Address
-
55 MERIDEN AVENUESUITE 3FSOUTHINGTON, CT, 06489Browse CT providers · Browse ZIP 06489
- Phone
- 8606218959
- Fax
- 8606282459
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in SOUTHINGTON, CT
| Name | Credential | NPI |
|---|---|---|
| DR. GRISELDA G KHOE | DMD | 1154443729 |
| SARAH ANN MIR | DDS | 1841738861 |
| LISA ILENE HARRIS | DMD | 1386279834 |
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.