Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1043237704 Individual Practitioner Male Practitioner

Dr. Alphonso L. Mack , DMD

Dentist - General Practice • Bloomfield, CT

Professional Overview & Biography Verified Profile Summary

Dr. Alphonso Mack, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bloomfield, CT. Practice services are available at 2 WINTONBURY MALL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2 Wintonbury Mall
Building #5

Bloomfield, CT 060022466

Telephone 8602435451
Fax 8606566107
Associated Practice Facility / Clinic
🏢 Hebrew Community Services Inc Facility NPI 1487635629

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomfield, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
12 Specialists

Practicing in Bloomfield, CT (1821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 005845

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002058451 00 (CT)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1477750404

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2 WINTONBURY MALL, BUILDING #5, BLOOMFIELD, CT 060022466 (Tel: 8602435451)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2 WINTONBURY MALL, BUILDING #5, BLOOMFIELD, CT 060022466 (Tel: 8602435451)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ALPHONSO MACK, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #005845 in CT)

🟢
Initial NPI Registration & Enumeration July 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043237704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 17, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2 Wintonbury Mall, Building #5

Bloomfield, CT 060022466

Phone: 8602435451

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.