Active NPIIndividual providerSole proprietor

Dr. Walter Pierog, DMD

Dentist, General Practice in South Windsor, Connecticut

NPI Number1285643361
Practice location
866 Foster Street Ext, South Windsor, CT 06074-2116
Fax
860-644-6646
Last updated
July 8, 2007

Walter Pierog is a Dentist, General Practice based in South Windsor, CT. Walter Pierog practices in South Windsor, CT and has the professional credentials of DMD. The NPI Number for Walter Pierog is 1285643361 and holds a License No. 006392 (CT). The current practice location address for Walter Pierog is 866 Foster Street Ext, South Windsor, CT 06074-2116 and can be reached out via phone at 860-644-4209 and via fax at 860-644-6646.

Provider Profile Details

NPI Number
1285643361
Provider Name
Walter Pierog
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
866 Foster Street Ext, South Windsor, CT 06074-2116
Phone Number
860-644-4209
Fax Number
860-644-6646
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 6, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
866 Foster Street Ext
South Windsor, CT 06074-2116
Zip
06074-2116
Phone Number
860-644-4209
Fax Number
860-644-6646
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
866 Foster Street Ext
South Windsor, CT 06074-2116
City
South Windsor
State
CT
Zip
06074-2116
Phone Number
860-644-4209
Fax Number
860-644-6646

License Information

License Number
006392
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 Dr. Walter Pierog, DMD?

The NPI number of Dr. Walter Pierog, DMD is 1285643361. It was assigned on August 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Walter Pierog, DMD?

Dr. Walter Pierog, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 006392.

Where does Dr. Walter Pierog, DMD practice?

The practice location is 866 Foster Street Ext, South Windsor, CT 06074-2116. The office can be reached at 860-644-4209 (phone) or 860-644-6646 (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 1285643361 directly on the NPPES registry website.

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