Provider Demographics
NPI:1730248287
Name:FAMILY DENTISTRY OF NORWICH, PC
Entity type:Organization
Organization Name:FAMILY DENTISTRY OF NORWICH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:F
Authorized Official - Last Name:TROJAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:607-334-8452
Mailing Address - Street 1:6362 COUNTY ROAD 32
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:NY
Mailing Address - Zip Code:13815-3551
Mailing Address - Country:US
Mailing Address - Phone:607-334-8452
Mailing Address - Fax:607-334-8450
Practice Address - Street 1:6362 COUNTY ROAD 32
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:NY
Practice Address - Zip Code:13815-3551
Practice Address - Country:US
Practice Address - Phone:607-334-8452
Practice Address - Fax:607-334-8450
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034395122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty