Active NPIIndividual providerSole proprietor

Dr. Alexander J Antonakos, DDS

Dentist in Wethersfield, Connecticut

NPI Number1053304162
Practice location
23 Garden St, Wethersfield, CT 06109-3118
Fax
—
Last updated
February 17, 2025

Alexander J Antonakos is a Dentist based in Wethersfield, CT. Alexander J Antonakos practices in Wethersfield, CT and has the professional credentials of DDS. The NPI Number for Alexander J Antonakos is 1053304162 and holds a License No. 008437 (CT). The current practice location address for Alexander J Antonakos is 23 Garden St, Wethersfield, CT 06109-3118 and can be reached out via phone at 860-529-0170.

Provider Profile Details

NPI Number
1053304162
Provider Name
Alexander J Antonakos
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
23 Garden St, Wethersfield, CT 06109-3118
Phone Number
860-529-0170
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
August 24, 2005
Last Update Date
February 17, 2025
Certification Date
February 17, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
23 Garden St
Wethersfield, CT 06109-3118
Zip
06109-3118
Phone Number
860-529-0170
Wethersfield, CT 06109Get directions →

Provider Business Mailing Address Details

Address
23 Garden St
Wethersfield, CT 06109-3118
City
Wethersfield
State
CT
Zip
06109-3118
Phone Number
860-529-0170

License Information

License Number (1)
008437
License State (1)
CT
Taxonomy (1)
Dentist · 122300000X
License Number (2)
040301-01
License State (2)
NY
Taxonomy (2)
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 Dr. Alexander J Antonakos, DDS?

The NPI number of Dr. Alexander J Antonakos, DDS is 1053304162. It was assigned on August 24, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexander J Antonakos, DDS?

Dr. Alexander J Antonakos, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 008437.

Where does Dr. Alexander J Antonakos, DDS practice?

The practice location is 23 Garden St, Wethersfield, CT 06109-3118. The office can be reached at 860-529-0170 (phone).

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 1053304162 directly on the NPPES registry website.

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