Active NPIIndividual provider

Dr. Kenneth S Sangiacomo, DMD

Dentist, General Practice in Bethel, Connecticut

NPI Number1063631679
Practice location
27 Grassy Plain St, Bethel, CT 06801-1703
Fax
203-743-2955
Last updated
July 8, 2007

Kenneth S Sangiacomo is a Dentist, General Practice based in Bethel, CT. Kenneth S Sangiacomo practices in Bethel, CT and has the professional credentials of DMD. The NPI Number for Kenneth S Sangiacomo is 1063631679 and holds a License No. 7828 (CT). The current practice location address for Kenneth S Sangiacomo is 27 Grassy Plain St, Bethel, CT 06801-1703 and can be reached out via phone at 203-743-5600 and via fax at 203-743-2955.

Provider Profile Details

NPI Number
1063631679
Provider Name
Kenneth S Sangiacomo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
27 Grassy Plain St, Bethel, CT 06801-1703
Phone Number
203-743-5600
Fax Number
203-743-2955
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
April 24, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
27 Grassy Plain St
Bethel, CT 06801-1703
City
Bethel
Zip
06801-1703
Phone Number
203-743-5600
Fax Number
203-743-2955
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
27 Grassy Plain St
Bethel, CT 06801-1703
City
Bethel
State
CT
Zip
06801-1703
Phone Number
203-743-5600
Fax Number
203-743-2955

License Information

License Number
7828
License State
CT
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 Dr. Kenneth S Sangiacomo, DMD?

The NPI number of Dr. Kenneth S Sangiacomo, DMD is 1063631679. It was assigned on April 24, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Kenneth S Sangiacomo, DMD?

Dr. Kenneth S Sangiacomo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 7828.

Where does Dr. Kenneth S Sangiacomo, DMD practice?

The practice location is 27 Grassy Plain St, Bethel, CT 06801-1703. The office can be reached at 203-743-5600 (phone) or 203-743-2955 (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 1063631679 directly on the NPPES registry website.

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