Faynor, Marie C

Faynor, Marie C is an sole proprietor health care provider with primary practice located at 42 W Purchase Rd , Southbury CT 06488-1002. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / General Practice. Dental Providers / Dental Public Health is her primary health care specialty. Faynor, Marie C can be contacted via phone (203) 405-1242.

Contact Information

Primary practice address
42 W Purchase Rd Southbury CT 06488-1002
Phone: (203) 405-1242
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 006915 Connecticut
Dental Providers / General Practice 1223G0001X 6915 Connecticut

Profile Details

NPI number 1811997893
LBN Legal business name Faynor, Marie C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Oct 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811997893 NPPES
Connecticut MEDICAID 002069153

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