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PROFESSIONAL DENTAL ALLIANCE OF NORWALK PLLC NPI 1962995449


NPI Information

NPI: 1962995449
Provider Name: PROFESSIONAL DENTAL ALLIANCE OF NORWALK, PLLC

Doing Business As: ALL SMILES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
761 MAIN AVE STE 11
NORWALK, CT
ZIP 06851
Phone: (203) 908-3170
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PROFESSIONAL DENTAL ALLIANCE OF NORWALK, PLLC 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. PROFESSIONAL DENTAL ALLIANCE OF NORWALK, PLLC NPI is 1962995449. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As All Smiles.

The provider's business location address is:

761 MAIN AVE STE 11
NORWALK, CT
ZIP 06851-080
Phone: (203) 908-3170

The provider's authorized official is Andrew Matta .
The authorized official title is Owner/cmo and has the following contact phone number (724) 698-2500.

The enumeration date for this NPI number is 6/11/2018 and was last updated on 6/11/2018.


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

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