Provider Type Icon

ELIAS C DEROS DMD LLC NPI 1033309067


NPI Information

NPI: 1033309067
Provider Name: ELIAS C DEROS DMD LLC
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
80 PHOENIX AVE
SUITE 305
WATERBURY, CT
ZIP 06702
Phone: (203) 755-4403
Get Directions

ELIAS C DEROS DMD LLC is a dentist in Waterbury, CT. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. ELIAS C DEROS DMD LLC NPI is 1033309067. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

80 PHOENIX AVE
SUITE 305
WATERBURY, CT
ZIP 06702
Phone: (203) 755-4403
Fax: (203) 574-3388

The provider's authorized official is Elias C Deros .
The authorized official title is Dentist Owner and has the following contact phone number (203) 755-4403.

The enumeration date for this NPI number is 7/26/2007 and was last updated on 7/26/2007.


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
1122300000XDentist8029CONNECTICUTYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.