Provider Demographics
NPI:1467659284
Name:ESSEX FAMILY DENTISTRY, LLC
Entity Type:Organization
Organization Name:ESSEX FAMILY DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:P
Authorized Official - Last Name:TURTORO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-767-9403
Mailing Address - Street 1:26 MIDDLESEX TPKE
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:CT
Mailing Address - Zip Code:06426-1401
Mailing Address - Country:US
Mailing Address - Phone:860-767-9403
Mailing Address - Fax:860-767-9405
Practice Address - Street 1:26 MIDDLESEX TPKE
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:CT
Practice Address - Zip Code:06426-1401
Practice Address - Country:US
Practice Address - Phone:860-767-9403
Practice Address - Fax:860-767-9405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT008481122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty