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

West Main Family Dentistry

Organization General Practice Dentistry · NPI 1396120390

West Main Family Dentistry provides General Practice Dentistry in Waterbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.

Licensed in
CT
In the registry since
2015
Specialties on file
3

Practice location Address checks out

1147 W Main St
Waterbury, CT 06708-2737 Not confirmed with CMS for 11 years — call before visiting
Phone: (203) 755-5641
Fax: (203) 755-1675
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 10493 (CT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 11403 (CT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 05521 (CT)

Record details

NPI number1396120390
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Balfour — Dentist (Owner) · (203) 755-5641
NPI enumeratedJuly 21, 2015
Last updated in NPPESJuly 21, 2015
Mailing address1147 W Main St, Waterbury, CT 06708-2737

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