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CONNECTICUT DENTAL PROFESSIONALS P.C. NPI 1104387489


NPI Information

NPI: 1104387489
Provider Name: CONNECTICUT DENTAL PROFESSIONALS, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 07D2224494

Address:
111 EAST AVE STE 200
NORWALK, CT
ZIP 06851
Phone: (203) 866-8585
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CONNECTICUT DENTAL PROFESSIONALS, P.C. is a general practice dentist in Norwalk, 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. CONNECTICUT DENTAL PROFESSIONALS, P.C. NPI is 1104387489. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 EAST AVE STE 200
NORWALK, CT
ZIP 06851-014
Phone: (203) 866-8585

The provider's authorized official is Tabatha Lemke .
The authorized official title is Credentialing Coordinator and has the following contact phone number (217) 540-6078.

The CLIA number assigned to this NPI record is 07D2224494 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/28/2019 and was last updated on 3/28/2019.


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 PracticeYes

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.