Active NPIIndividual provider

Sujata Pradhan-Peck

Dentist in Bethel, Connecticut

NPI Number1285912410
Practice location
24 Grassy Plain St, Bethel, CT 06801-1700
Fax
—
Last updated
May 21, 2015

Sujata Pradhan-Peck is a Dentist based in Bethel, CT. Sujata Pradhan-Peck practices in Bethel, CT. The NPI Number for Sujata Pradhan-Peck is 1285912410 and holds a License No. 019028782 (IL). The current practice location address for Sujata Pradhan-Peck is 24 Grassy Plain St, Bethel, CT 06801-1700 and can be reached out via phone at 203-616-5786.

Provider Profile Details

NPI Number
1285912410
Provider Name
Sujata Pradhan-Peck
Provider Entity Type
Individual
Gender
Female
Address
24 Grassy Plain St, Bethel, CT 06801-1700
Phone Number
203-616-5786
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
July 21, 2011
Last Update Date
May 21, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Grassy Plain St
Bethel, CT 06801-1700
City
Bethel
Zip
06801-1700
Phone Number
203-616-5786
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
24 Grassy Plain St
Bethel, CT 06801-1700
City
Bethel
State
CT
Zip
06801-1700
Phone Number
203-616-5786

License Information

License Number (1)
019028782
License State (1)
IL
Taxonomy (1)
Dentist · 122300000X
License Number (2)
010774
License State (2)
CT
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentists near Bethel, CT

View all Dentists in Bethel →

Frequently Asked Questions

What is the NPI number of Sujata Pradhan-Peck?

The NPI number of Sujata Pradhan-Peck is 1285912410. It was assigned on July 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Sujata Pradhan-Peck?

Sujata Pradhan-Peck is registered under the primary taxonomy Dentist (code 122300000X), licensed in IL under license number 019028782.

Where does Sujata Pradhan-Peck practice?

The practice location is 24 Grassy Plain St, Bethel, CT 06801-1700. The office can be reached at 203-616-5786 (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 1285912410 directly on the NPPES registry website.

Browse related providers