Edward P. Wysocki, D.M.D.
General Dentistry · Portland, CT
UnclaimedD.M.D.NPI 1265693907
- Primary taxonomy
- 122300000X
- Enumerated
- 2008-06-24
- Practice location
- Portland, CT
- Last NPPES update
- 2008-07-29
State licenses
- CT · Dentist · DentistExpiredthrough 2017
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.