Provider Demographics
NPI:1063192540
Name:VOLANT, JOSEPH GILL
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:GILL
Last Name:VOLANT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 TERRY RD
Mailing Address - Street 2:
Mailing Address - City:GALES FERRY
Mailing Address - State:CT
Mailing Address - Zip Code:06335-1223
Mailing Address - Country:US
Mailing Address - Phone:540-958-4706
Mailing Address - Fax:
Practice Address - Street 1:711 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-2125
Practice Address - Country:US
Practice Address - Phone:575-765-4797
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-20
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401418449122300000X
CT14181122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist