Dr. Edward P Wysocki Jr., DMD
Dentist in Portland, Connecticut
1265693907- Practice location
- 229 Main St, Portland, CT 06480-1858
- Phone
- 860-342-2516
- Fax
- —
- Last updated
- July 29, 2008
Edward Paul Wysocki is a Dentist based in Portland, CT. Edward Paul Wysocki practices in Portland, CT and has the professional credentials of DMD. The NPI Number for Edward Paul Wysocki is 1265693907 and holds a License No. 4929 (CT). The current practice location address for Edward Paul Wysocki is 229 Main St, Portland, CT 06480-1858 and can be reached out via phone at 860-342-2516.
Provider Profile Details
- NPI Number
- 1265693907
- Provider Name
- Edward Paul Wysocki
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 229 Main St, Portland, CT 06480-1858
- Phone Number
- 860-342-2516
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- June 24, 2008
- Last Update Date
- July 29, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 229 Main St
Portland, CT 06480-1858 - City
- Portland
- State
- Connecticut
- Zip
- 06480-1858
- Phone Number
- 860-342-2516
Provider Business Mailing Address Details
- Address
- 229 Main St
Portland, CT 06480-1858 - City
- Portland
- State
- CT
- Zip
- 06480-1858
- Phone Number
- 860-342-2516
License Information
- License Number
- 4929
- License State
- CT
- Taxonomy
- 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 Portland, CT
View all Dentists in Portland →Frequently Asked Questions
What is the NPI number of Dr. Edward P Wysocki Jr., DMD?
The NPI number of Dr. Edward P Wysocki Jr., DMD is 1265693907. It was assigned on June 24, 2008 and is currently active in the NPPES registry.
What is the specialty of Dr. Edward P Wysocki Jr., DMD?
Dr. Edward P Wysocki Jr., DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 4929.
Where does Dr. Edward P Wysocki Jr., DMD practice?
The practice location is 229 Main St, Portland, CT 06480-1858. The office can be reached at 860-342-2516 (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 1265693907 directly on the NPPES registry website.