Provider Demographics
NPI:1215012190
Name:DEMAS, DONALD CHRISTIAN (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:CHRISTIAN
Last Name:DEMAS
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 522
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06795-0522
Mailing Address - Country:US
Mailing Address - Phone:203-510-2891
Mailing Address - Fax:
Practice Address - Street 1:27 MERIDEN AVE STE 2A
Practice Address - Street 2:
Practice Address - City:SOUTHINGTON
Practice Address - State:CT
Practice Address - Zip Code:06489-3234
Practice Address - Country:US
Practice Address - Phone:860-276-0333
Practice Address - Fax:860-736-2220
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2018-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0067081223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics