Most Relevant Information
Provider Data
| NPI Number: | 1003835893 |
| Provider Name: | JOHN ROBERT GAGNE DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 7680 |
Most Important Dates
| Enumeration Date: | 07/19/2006 |
| Last Updated: | 02/09/2023 |
Provider Practice Location
390 MIDDLEBURY RD, SUITE 1
MIDDLEBURY
CT
06762
Practice Location Phone/Fax
| Phone: | 2037559444 |
| Fax: | 2037551552 |
Provider Mailing Location
390 MIDDLEBURY RD, SUITE 1
MIDDLEBURY
CT
06762
Provider Mailing Phone/Fax
| Phone: | 2037559444 |
| Fax: | 2037551552 |