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DR DENTAL OF NORWALK PC NPI 1598041154


NPI Information

NPI: 1598041154
Provider Name: DR DENTAL OF NORWALK PC

Doing Business As: DR. DENTAL

Classification: Dentist - 1223D0001X
Entity Type: Organization

Specialization: Dental Public Health

Address:
360 CONNECTICUT AVE
NORWALK, CT
ZIP 06854
Phone: (201) 725-0372
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DR DENTAL OF NORWALK PC is a dental public health dentist in Norwalk, CT. The provider is the science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. DR DENTAL OF NORWALK PC NPI is 1598041154. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Dental.

The provider's business location address is:

360 CONNECTICUT AVE
NORWALK, CT
ZIP 06854-824
Phone: (201) 725-0372

The provider's authorized official is Arthur Revechkis .
The authorized official title is Managing Partner and has the following contact phone number (201) 725-0372.

The enumeration date for this NPI number is 10/27/2011 and was last updated on 10/27/2011.


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
11223D0001XDentistDental Public Health010025CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1010025MEDICAIDCONNECTICUT

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

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