Active NPIOrganization

Southern Connecticut Dental Group PC

Dentist, General Practice in Ansonia, Connecticut

NPI Number1194849356
Practice location
497 Main St, Ansonia, CT 06401-2308
Fax
203-736-9443
Last updated
May 12, 2015

Southern Connecticut Dental Group PC is a healthcare organization based in Ansonia, CT. Southern Connecticut Dental Group PC practices in Ansonia, CT. The NPI Number for Southern Connecticut Dental Group PC is 1194849356 and holds a License No. 5880 (CT). The current practice location address for Southern Connecticut Dental Group PC is 497 Main St, Ansonia, CT 06401-2308 and can be reached out via phone at 203-735-4701 and via fax at 203-736-9443.

Provider Profile Details

NPI Number
1194849356
Provider Name
Southern Connecticut Dental Group PC
Provider Entity Type
Organization
Address
497 Main St, Ansonia, CT 06401-2308
Phone Number
203-735-4701
Fax Number
203-736-9443
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Ira J Stein, DDS · Vice President · 203-735-4701
Other Names
Dworkin & Stein Dental Group PC (Former Legal Business Name)
Provider Enumeration Date
March 16, 2007
Last Update Date
May 12, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
497 Main St
Ansonia, CT 06401-2308
Zip
06401-2308
Phone Number
203-735-4701
Fax Number
203-736-9443
Ansonia, CT 06401Get directions →

Provider Business Mailing Address Details

Address
497 Main St
Ansonia, CT 06401-2308
City
Ansonia
State
CT
Zip
06401-2308
Phone Number
203-735-4701
Fax Number
203-736-9443

License Information

License Number
5880
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 Southern Connecticut Dental Group PC?

The NPI number of Southern Connecticut Dental Group PC is 1194849356. It was assigned on March 16, 2007 and is currently active in the NPPES registry.

What is the specialty of Southern Connecticut Dental Group PC?

Southern Connecticut Dental Group PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 5880.

Where does Southern Connecticut Dental Group PC practice?

The practice location is 497 Main St, Ansonia, CT 06401-2308. The office can be reached at 203-735-4701 (phone) or 203-736-9443 (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 1194849356 directly on the NPPES registry website.

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