Active NPIIndividual providerSole proprietor

Stephen Poon, DDS, FICOI

Dentist, General Practice in Stamford, Connecticut

NPI Number1063753838
Practice location
579 Newfield Ave, Stamford, CT 06905-3302
Fax
203-890-9250
Last updated
October 15, 2019

Stephen Poon is a Dentist, General Practice based in Stamford, CT. Stephen Poon practices in Stamford, CT and has the professional credentials of DDS, FICOI. The NPI Number for Stephen Poon is 1063753838 and holds a License No. 12446 (CT). The current practice location address for Stephen Poon is 579 Newfield Ave, Stamford, CT 06905-3302 and can be reached out via phone at 203-890-9300 and via fax at 203-890-9250.

Provider Profile Details

NPI Number
1063753838
Provider Name
Stephen Poon
Credential
DDS, FICOI
Provider Entity Type
Individual
Gender
Male
Address
579 Newfield Ave, Stamford, CT 06905-3302
Phone Number
203-890-9300
Fax Number
203-890-9250
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
March 4, 2013
Last Update Date
October 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
579 Newfield Ave
Stamford, CT 06905-3302
Zip
06905-3302
Phone Number
203-890-9300
Fax Number
203-890-9250
Stamford, CT 06905Get directions →

Provider Business Mailing Address Details

Address
579 Newfield Ave
Stamford, CT 06905-3302
City
Stamford
State
CT
Zip
06905-3302
Phone Number
203-890-9300

License Information

License Number (1)
12446
License State (1)
CT
Taxonomy (1)
Dentist · 122300000X
License Number (3)
12446
License State (3)
CT
Taxonomy (3)
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 Stephen Poon, DDS, FICOI?

The NPI number of Stephen Poon, DDS, FICOI is 1063753838. It was assigned on March 4, 2013 and is currently active in the NPPES registry.

What is the specialty of Stephen Poon, DDS, FICOI?

Stephen Poon, DDS, FICOI is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 12446.

Where does Stephen Poon, DDS, FICOI practice?

The practice location is 579 Newfield Ave, Stamford, CT 06905-3302. The office can be reached at 203-890-9300 (phone) or 203-890-9250 (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 1063753838 directly on the NPPES registry website.

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