Active NPIIndividual provider

Dr. Carlos S Degollado, DDS

Dentist, General Practice in Wolcott, Connecticut

NPI Number1073741088
Practice location
1681 Meriden RD, Wolcott, CT 06716-3322
Fax
—
Last updated
August 21, 2023

Carlos S Degollado is a Dentist, General Practice based in Wolcott, CT. Carlos S Degollado practices in Wolcott, CT and has the professional credentials of DDS. The NPI Number for Carlos S Degollado is 1073741088 and holds a License No. 010515 (CT). The current practice location address for Carlos S Degollado is 1681 Meriden RD, Wolcott, CT 06716-3322 and can be reached out via phone at 036-337-1782.

Provider Profile Details

NPI Number
1073741088
Provider Name
Carlos S Degollado
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1681 Meriden RD, Wolcott, CT 06716-3322
Phone Number
036-337-1782
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2009
Last Update Date
August 21, 2023
Certification Date
August 21, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1681 Meriden RD
Wolcott, CT 06716-3322
Zip
06716-3322
Phone Number
036-337-1782
Wolcott, CT 06716Get directions →

Provider Business Mailing Address Details

Address
1 Evergreen Trl
Farmington, CT 06032-2142
City
Farmington
State
CT
Zip
06032-2142
Phone Number
860-751-8211

License Information

License Number
010515
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. Carlos S Degollado, DDS?

The NPI number of Dr. Carlos S Degollado, DDS is 1073741088. It was assigned on June 29, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Carlos S Degollado, DDS?

Dr. Carlos S Degollado, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 010515.

Where does Dr. Carlos S Degollado, DDS practice?

The practice location is 1681 Meriden RD, Wolcott, CT 06716-3322. The office can be reached at 036-337-1782 (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 1073741088 directly on the NPPES registry website.

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