Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Andrew C Fossum, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1699921403

Dr. Andrew C Fossum, DDS is a Student in an Organized Health Care Education/Training Program in Farmington, Connecticut. Licensed in Connecticut. Registered with an NPI since 2008.

Licensed in
CT
In the registry since
2008
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence 11588 (CT)

Record details

NPI number1699921403
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 12, 2008
Last updated in NPPESJuly 8, 2016

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