Active NPIOrganization

Orange Center Dentistry PC

Dentist, General Practice in Derby, Connecticut

NPI Number1053795070
Practice location
676 New Haven Ave, Suite A-3, Derby, CT 06418-2500
Fax
475-777-5118
Last updated
July 20, 2015

Orange Center Dentistry PC is a healthcare organization based in Derby, CT. Orange Center Dentistry PC practices in Derby, CT. The NPI Number for Orange Center Dentistry PC is 1053795070. The current practice location address for Orange Center Dentistry PC is 676 New Haven Ave, Suite A-3, Derby, CT 06418-2500 and can be reached out via phone at 475-777-5108 and via fax at 475-777-5118.

Provider Profile Details

NPI Number
1053795070
Provider Name
Orange Center Dentistry PC
Provider Entity Type
Organization
Address
676 New Haven Ave, Suite A-3, Derby, CT 06418-2500
Phone Number
475-777-5108
Fax Number
475-777-5118
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Christopher C. Cogguillo, DDS · President · 475-777-5108
Other Names
Grassy Hill Dentistry (Doing Business As)
Provider Enumeration Date
July 20, 2015
Last Update Date
July 20, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
676 New Haven Ave
Suite A-3
Derby, CT 06418-2500
City
Derby
Zip
06418-2500
Phone Number
475-777-5108
Fax Number
475-777-5118
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
676 New Haven Ave
Suite A-3
Derby, CT 06418-2500
City
Derby
State
CT
Zip
06418-2500
Phone Number
475-777-5108
Fax Number
475-777-5118

License Information

Taxonomy
Dentist, General Practice · 1223G0001X · 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 Orange Center Dentistry PC?

The NPI number of Orange Center Dentistry PC is 1053795070. It was assigned on July 20, 2015 and is currently active in the NPPES registry.

What is the specialty of Orange Center Dentistry PC?

Orange Center Dentistry PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Orange Center Dentistry PC practice?

The practice location is 676 New Haven Ave, Suite A-3, Derby, CT 06418-2500. The office can be reached at 475-777-5108 (phone) or 475-777-5118 (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 1053795070 directly on the NPPES registry website.

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