Provider Demographics
NPI:1720092422
Name:BUCARI, RONALD LOIUS (DMD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LOIUS
Last Name:BUCARI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 BEE MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:NEW HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06057-3500
Mailing Address - Country:US
Mailing Address - Phone:860-489-3328
Mailing Address - Fax:
Practice Address - Street 1:3 NORTHWESTERN DR
Practice Address - Street 2:
Practice Address - City:BLOOMFIELD
Practice Address - State:CT
Practice Address - Zip Code:06002-3465
Practice Address - Country:US
Practice Address - Phone:860-243-8989
Practice Address - Fax:860-243-2929
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT83831223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics