Provider Demographics
NPI:1184978363
Name:DR TOSATTI GROUP
Entity type:Organization
Organization Name:DR TOSATTI GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:TOSATTI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:860-828-1475
Mailing Address - Street 1:1067 FARMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:KENSINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06037-2244
Mailing Address - Country:US
Mailing Address - Phone:860-828-1475
Mailing Address - Fax:860-828-1718
Practice Address - Street 1:1067 FARMINGTON AVE
Practice Address - Street 2:
Practice Address - City:KENSINGTON
Practice Address - State:CT
Practice Address - Zip Code:06037-2244
Practice Address - Country:US
Practice Address - Phone:860-828-1475
Practice Address - Fax:860-828-1718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-09
Last Update Date:2012-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty