Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Waterbury Family Dental PC

Organization Dentist · NPI 1689997124

Waterbury Family Dental PC is a Dentist 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
Phone: (203) 288-3000
Fax: (203) 288-3004
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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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