Active NPIOrganization

Elias C Deros DMD LLC

Dentist in Waterbury, Connecticut

NPI Number1033309067
Practice location
80 Phoenix Ave, Suite 305, Waterbury, CT 06702
Fax
203-574-3388
Last updated
July 26, 2007

Elias C Deros DMD LLC is a healthcare organization based in Waterbury, CT. Elias C Deros DMD LLC practices in Waterbury, CT. The NPI Number for Elias C Deros DMD LLC is 1033309067 and holds a License No. 8029 (CT). The current practice location address for Elias C Deros DMD LLC is 80 Phoenix Ave, Suite 305, Waterbury, CT 06702 and can be reached out via phone at 203-755-4403 and via fax at 203-574-3388.

Provider Profile Details

NPI Number
1033309067
Provider Name
Elias C Deros DMD LLC
Provider Entity Type
Organization
Address
80 Phoenix Ave, Suite 305, Waterbury, CT 06702
Phone Number
203-755-4403
Fax Number
203-574-3388
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Elias C Deros, DMD · Dentist Owner · 203-755-4403
Provider Enumeration Date
July 26, 2007
Last Update Date
July 26, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Phoenix Ave
Suite 305
Waterbury, CT 06702
Zip
06702
Phone Number
203-755-4403
Fax Number
203-574-3388
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
80 Phoenix Ave
Suite 305
Waterbury, CT 06702
City
Waterbury
State
CT
Zip
06702
Phone Number
203-755-4403
Fax Number
203-574-3388

License Information

License Number
8029
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elias C Deros DMD LLC?

The NPI number of Elias C Deros DMD LLC is 1033309067. It was assigned on July 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Elias C Deros DMD LLC?

Elias C Deros DMD LLC is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 8029.

Where does Elias C Deros DMD LLC practice?

The practice location is 80 Phoenix Ave, Suite 305, Waterbury, CT 06702. The office can be reached at 203-755-4403 (phone) or 203-574-3388 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033309067 directly on the NPPES registry website.

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