Paul Joseph Mckenna JR.
Orthodontists
619 Hopmeadow St
Simsbury
, Connecticut 06070-2449
Paul Joseph Mckenna JR.
Orthodontists
619 Hopmeadow St
Simsbury
, Connecticut 06070-2449
(860) 651-7424
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About
Features
Specialties
- Orthodontists
Languages spoken
- English
Location
First Address
- Paul Joseph Mckenna JR.
- 619 Hopmeadow Street
- Simsbury, CT
- Zip : 06070-2449
- Fax : (860) 651-7424
- Phone : (860) 651-9391
Second Address
- Paul Joseph Mckenna JR.
- 619 Hopmeadow St
- Simsbury, CT
- Zip : 06070-2449
- Fax : (860) 651-7424
- Phone : (860) 651-9391
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223X0400X | Orthodontists | 5927 | CT |
National Provider Identifier
| NPI | 1013121953 |
|---|---|
| Provider Name | Paul Joseph Mckenna JR. |
| First Address | Simsbury, CT 06070-2449 |
| Second Address | Simsbury, CT 06070-2449 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.