Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Waterbury Family Dental PC

Organization Dentist · NPI 1689997124

Waterbury Family Dental PC provides Dentist services in Waterbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2010.

Licensed in
CT
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

155 Thomaston Ave C12
Waterbury, CT 06702-1020 Not confirmed with CMS for 16 years — call before visiting
Phone: (203) 288-3000
Fax: (203) 288-3004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 010025 (CT)

Record details

NPI number1689997124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kanye Bosma — Manager · (203) 288-3000
NPI enumeratedMarch 11, 2010
Last updated in NPPESMarch 11, 2010
Mailing address155 Thomaston Ave, C12, Waterbury, CT 06702-1020

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