Active NPIOrganization

Robert E. Smith DDS Mph

Dentist, General Practice in Derby, Connecticut

NPI Number1134478647
Practice location
115 New Haven Ave, Derby, CT 06418-2154
Fax
203-734-4101
Last updated
August 30, 2012

Robert E. Smith DDS Mph is a healthcare organization based in Derby, CT. Robert E. Smith DDS Mph practices in Derby, CT. The NPI Number for Robert E. Smith DDS Mph is 1134478647 and holds a License No. 007110 (CT). The current practice location address for Robert E. Smith DDS Mph is 115 New Haven Ave, Derby, CT 06418-2154 and can be reached out via phone at 203-732-4747 and via fax at 203-734-4101.

Provider Profile Details

NPI Number
1134478647
Provider Name
Robert E. Smith DDS Mph
Provider Entity Type
Organization
Address
115 New Haven Ave, Derby, CT 06418-2154
Phone Number
203-732-4747
Fax Number
203-734-4101
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Lynanne Madgic · Office Manager · 203-732-4747
Provider Enumeration Date
August 30, 2012
Last Update Date
August 30, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
115 New Haven Ave
Derby, CT 06418-2154
City
Derby
Zip
06418-2154
Phone Number
203-732-4747
Fax Number
203-734-4101
Derby, CT 06418Get directions →

Provider Business Mailing Address Details

Address
115 New Haven Ave
Derby, CT 06418-2154
City
Derby
State
CT
Zip
06418-2154
Phone Number
203-732-4747
Fax Number
203-734-4101

License Information

License Number (1)
007110
License State (1)
CT
Taxonomy (1)
Dental Hygienist · 124Q00000X
License Number (2)
010810
License State (2)
CT
Taxonomy (2)
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 Robert E. Smith DDS Mph?

The NPI number of Robert E. Smith DDS Mph is 1134478647. It was assigned on August 30, 2012 and is currently active in the NPPES registry.

What is the specialty of Robert E. Smith DDS Mph?

Robert E. Smith DDS Mph is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 007110.

Where does Robert E. Smith DDS Mph practice?

The practice location is 115 New Haven Ave, Derby, CT 06418-2154. The office can be reached at 203-732-4747 (phone) or 203-734-4101 (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 1134478647 directly on the NPPES registry website.

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