FAMILY DENTAL GROUP FAIRFIELD LLC NPI 1043423593

NPI Information

NPI: 1043423593
Provider Name: FAMILY DENTAL GROUP FAIRFIELD, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
320 KINGS HWY E
FAIRFIELD, CT
ZIP 06825
Phone: (203) 337-6262
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FAMILY DENTAL GROUP FAIRFIELD, LLC is a general practice dentist in Fairfield, 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. FAMILY DENTAL GROUP FAIRFIELD, LLC NPI is 1043423593. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

320 KINGS HWY E
FAIRFIELD, CT
ZIP 06825-813
Phone: (203) 337-6262
Fax: (203) 337-6267

The provider's authorized official is Kenneth M Epstein .
The authorized official title is Owner and has the following contact phone number (203) 337-6262.

The enumeration date for this NPI number is 5/8/2007 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	5212	CONNECTICUT	Yes
2	122300000X	Dentist		9408	CONNECTICUT	X
3	1223P0300X	Dentist	Periodontics	8178	CONNECTICUT	X
4	1223P0700X	Dentist	Prosthodontics	8552	CONNECTICUT	X
5	1223S0112X	Dentist	Oral and Maxillofacial Surgery	2582	CONNECTICUT	X
6	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	6481	CONNECTICUT	X

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: 4/28/2024

NPI Synchronization or Removal

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