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PEARL DENTAL OF STAMFORD PC NPI 1033510474


NPI Information

NPI: 1033510474
Provider Name: PEARL DENTAL OF STAMFORD, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1055 SUMMER ST
SUITE 3
STAMFORD, CT
ZIP 06905
Phone: (203) 325-2102
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PEARL DENTAL OF STAMFORD, PC is a general practice dentist in Stamford, CT. The provider is 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. PEARL DENTAL OF STAMFORD, PC NPI is 1033510474. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1055 SUMMER ST
SUITE 3
STAMFORD, CT
ZIP 06905-527
Phone: (203) 325-2102
Fax: (203) 325-1153

The provider's authorized official is Kaveeta Channamsetty .
The authorized official title is Owner and has the following contact phone number (203) 325-2102.

The enumeration date for this NPI number is 9/4/2014 and was last updated on 9/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice009837CONNECTICUTYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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