IndividualActive
Alphonso Mack, D.M.D.
NPI 1043237704 · General Practice Dentistry · Bloomfield, CT
Provider details
- NPI number
- 1043237704
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 005845 (CT)
Specialties & taxonomies
Dental Providers
Practice location
2 Wintonbury Mall
Building #5
Bloomfield, CT 06002-2466
Phone: (860) 243-5451
Fax: (860) 656-6107
Approximate (ZIP-level) locationGet directions
Mailing address
2 Wintonbury Mall
Bloomfield, CT 06002-2466
Registry dates
- Enumerated
- 2006-07-17
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.