OrganizationActive
A&g Family Dentistry PC
NPI 1790078418 · General Practice Dentistry · Waterbury, CT
Provider details
- NPI number
- 1790078418
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Agababaev, Vice President(718) 887-1397
- License
- 010091 (CT)
Specialties & taxonomies
Dental Providers
Practice location
1127 W Main St
Ste 2a
Waterbury, CT 06708-2764
Phone: (203) 573-9989
Approximate (ZIP-level) locationGet directions
Mailing address
2354 Ocean Pkwy
Brooklyn, NY 11223-5447
Registry dates
- Enumerated
- 2011-05-27
- Last updated
- 2011-05-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.