Active NPIIndividual provider

Dr. Elias C Deros, DMD

Dentist in Waterbury, Connecticut

NPI Number1225259856
Practice location
80 Phoenix Ave, Suite 305, Waterbury, CT 06702
Fax
203-574-3388
Last updated
July 8, 2007

Elias Constantine Deros is a Dentist based in Waterbury, CT. Elias Constantine Deros practices in Waterbury, CT and has the professional credentials of DMD. The NPI Number for Elias Constantine Deros is 1225259856 and holds a License No. 8029 (CT). The current practice location address for Elias Constantine Deros is 80 Phoenix Ave, Suite 305, Waterbury, CT 06702 and can be reached out via phone at 203-755-4403 and via fax at 203-574-3388.

Provider Profile Details

NPI Number
1225259856
Provider Name
Elias Constantine Deros
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
80 Phoenix Ave, Suite 305, Waterbury, CT 06702
Phone Number
203-755-4403
Fax Number
203-574-3388
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
May 1, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
80 Phoenix Ave
Suite 305
Waterbury, CT 06702
Zip
06702
Phone Number
203-755-4403
Fax Number
203-574-3388
Waterbury, CT 06702Get directions →

Provider Business Mailing Address Details

Address
22 Lisbon Street
Watertown, CT 06795
City
Watertown
State
CT
Zip
06795
Phone Number
203-755-4403
Fax Number
203-574-3388

License Information

License Number
8029
License State
CT
Taxonomy
Dentist · 122300000X · 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. Elias C Deros, DMD?

The NPI number of Dr. Elias C Deros, DMD is 1225259856. It was assigned on May 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Elias C Deros, DMD?

Dr. Elias C Deros, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 8029.

Where does Dr. Elias C Deros, DMD practice?

The practice location is 80 Phoenix Ave, Suite 305, Waterbury, CT 06702. The office can be reached at 203-755-4403 (phone) or 203-574-3388 (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 1225259856 directly on the NPPES registry website.

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