Mark Louis Longobardi, DMD

General Practice Dentistry · Willimantic, CT

Individual Active NPI

NPI number 1184635849

Practice location

169 Valley St
Willimantic, CT 06226-2428
Phone
(860) 456-1784
Fax
(860) 423-6408

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NPI record

NPI
1184635849
Entity type
Individual (Type 1)
Enumeration date
August 10, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 6965 CT

About Dr. Longobardi

Mark Louis Longobardi, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 169 Valley St, Willimantic, CT 06226-2428. The NPI number 1184635849 was assigned on August 10, 2006 and the record was last updated on July 8, 2007.

Dr. Longobardi lists a license in the registry: #6965 (CT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mark Louis Longobardi, DMD?

The NPI number is 1184635849.

What is the phone number of Dr. Longobardi?

The phone number listed for the practice location is (860) 456-1784.

Where is Dr. Longobardi located?

169 Valley St, Willimantic, CT 06226-2428.

What is the taxonomy code for Dr. Longobardi?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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