Provider Demographics
NPI:1043327232
Name:AMITY DENTAL CARE INC
Entity type:Organization
Organization Name:AMITY DENTAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PASQUALE
Authorized Official - Middle Name:PAT
Authorized Official - Last Name:NAPPO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-393-1660
Mailing Address - Street 1:696 AMITY RD STE A3
Mailing Address - Street 2:
Mailing Address - City:BETHANY
Mailing Address - State:CT
Mailing Address - Zip Code:06524-3006
Mailing Address - Country:US
Mailing Address - Phone:203-393-1660
Mailing Address - Fax:203-393-1922
Practice Address - Street 1:696 AMITY RD STE A3
Practice Address - Street 2:
Practice Address - City:BETHANY
Practice Address - State:CT
Practice Address - Zip Code:06524-3006
Practice Address - Country:US
Practice Address - Phone:203-393-1660
Practice Address - Fax:203-393-1922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT46401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty