Active NPIOrganization

Dr Dental Of Stratford

Dentist, General Practice in Stratford, Connecticut

NPI Number1124316104
Practice location
200 E Main St, Unit 13, Stratford, CT 06614-5114
Fax
203-378-8501
Last updated
July 12, 2011

Dr Dental Of Stratford is a healthcare organization based in Stratford, CT. Dr Dental Of Stratford practices in Stratford, CT. The NPI Number for Dr Dental Of Stratford is 1124316104 and holds a License No. 010025 (CT). The current practice location address for Dr Dental Of Stratford is 200 E Main St, Unit 13, Stratford, CT 06614-5114 and can be reached out via phone at 203-378-8500 and via fax at 203-378-8501.

Provider Profile Details

NPI Number
1124316104
Provider Name
Dr Dental Of Stratford
Provider Entity Type
Organization
Address
200 E Main St, Unit 13, Stratford, CT 06614-5114
Phone Number
203-378-8500
Fax Number
203-378-8501
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Mr. Arthur Revechkis · Manager · 201-725-0372
Other Names
Dr. Dental (Doing Business As)
Provider Enumeration Date
July 12, 2011
Last Update Date
July 12, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 E Main St
Unit 13
Stratford, CT 06614-5114
Zip
06614-5114
Phone Number
203-378-8500
Fax Number
203-378-8501
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
200 E Main St
Unit 13
Stratford, CT 06614-5114
City
Stratford
State
CT
Zip
06614-5114
Phone Number
203-378-8500
Fax Number
203-378-8501

License Information

License Number
010025
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 Dental Of Stratford?

The NPI number of Dr Dental Of Stratford is 1124316104. It was assigned on July 12, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr Dental Of Stratford?

Dr Dental Of Stratford is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 010025.

Where does Dr Dental Of Stratford practice?

The practice location is 200 E Main St, Unit 13, Stratford, CT 06614-5114. The office can be reached at 203-378-8500 (phone) or 203-378-8501 (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 1124316104 directly on the NPPES registry website.

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