Wolcott Street Dental-2, PC
Dentist in Waterbury, Connecticut
1134359623- Practice location
- 728 Wolcott Street, Waterbury, CT 06705
- Phone
- 800-920-5547
- Fax
- —
- Last updated
- August 19, 2022
Wolcott Street Dental-2, PC is a healthcare organization based in Waterbury, CT. Wolcott Street Dental-2, PC practices in Waterbury, CT. The NPI Number for Wolcott Street Dental-2, PC is 1134359623. The current practice location address for Wolcott Street Dental-2, PC is 728 Wolcott Street, Waterbury, CT 06705 and can be reached out via phone at 800-920-5547.
Provider Profile Details
- NPI Number
- 1134359623
- Provider Name
- Wolcott Street Dental-2, PC
- Provider Entity Type
- Organization
- Address
- 728 Wolcott Street, Waterbury, CT 06705
- Phone Number
- 800-920-5547
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Michelle Jacomino · Director Of Payor Relations · 770-916-5036
- Other Names
- Sutton Dental (Doing Business As)
- Provider Enumeration Date
- July 20, 2009
- Last Update Date
- August 19, 2022
- Certification Date
- August 19, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 728 Wolcott Street
Waterbury, CT 06705 - City
- Waterbury
- State
- Connecticut
- Zip
- 06705
- Phone Number
- 800-920-5547
Provider Business Mailing Address Details
- Address
- 210 Interstate North Pkwy SE Ste 300
Atlanta, GA 30339-2233 - City
- Atlanta
- State
- GA
- Zip
- 30339-2233
- Phone Number
- 770-916-5028
License Information
- Taxonomy (1)
- Dentist, Endodontics · 1223E0200X
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X
- Taxonomy (3)
- Dentist, Pediatric Dentistry · 1223P0221X
- Taxonomy (4)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Taxonomy (5)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Taxonomy (6)
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Waterbury, CT
View all Dentists in Waterbury →Frequently Asked Questions
What is the NPI number of Wolcott Street Dental-2, PC?
The NPI number of Wolcott Street Dental-2, PC is 1134359623. It was assigned on July 20, 2009 and is currently active in the NPPES registry.
What is the specialty of Wolcott Street Dental-2, PC?
Wolcott Street Dental-2, PC is registered under the primary taxonomy Dentist (code 122300000X).
Where does Wolcott Street Dental-2, PC practice?
The practice location is 728 Wolcott Street, Waterbury, CT 06705. The office can be reached at 800-920-5547 (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 1134359623 directly on the NPPES registry website.