IndividualActive
Allen Massicotte, DDS
NPI 1487730297 · General Practice Dentistry · Waterbury, CT
Provider details
- NPI number
- 1487730297
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 6969 (CT)
Specialties & taxonomies
Dental Providers
Practice location
417 Highland Ave
Suite 4
Waterbury, CT 06708
Phone: (203) 753-1419
Fax: (203) 755-5336
Approximate (ZIP-level) locationGet directions
Mailing address
417 Highland Ave
Waterbury, CT 06708
Registry dates
- Enumerated
- 2006-10-27
- 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.