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PROGRESSIVE DENTISTRY OF CT P.C. NPI 1508180753


NPI Information

NPI: 1508180753
Provider Name: PROGRESSIVE DENTISTRY OF CT, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
315 WHITNEY AVE
SUITE 6
NEW HAVEN, CT
ZIP 06511
Phone: (203) 776-8556
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PROGRESSIVE DENTISTRY OF CT, P.C. is a general practice dentist in New Haven, 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. PROGRESSIVE DENTISTRY OF CT, P.C. NPI is 1508180753. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

315 WHITNEY AVE
SUITE 6
NEW HAVEN, CT
ZIP 06511-715
Phone: (203) 776-8556
Fax: (203) 776-1475

The provider's authorized official is Fredric L Rosen .
The authorized official title is President and has the following contact phone number (203) 776-8556.

The enumeration date for this NPI number is 3/17/2010 and was last updated on 3/17/2010.


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 Practice4397CONNECTICUTYes

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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