Active NPIIndividual provider

Dr. Theodore W Zdeblick, DDS

Dentist, General Practice in Southington, Connecticut

NPI Number1336256536
Practice location
51 N Main St, Suite 2E, Southington, CT 06489
Fax
860-276-9440
Last updated
April 25, 2013

Theodore Walter Zdeblick is a Dentist, General Practice based in Southington, CT. Theodore Walter Zdeblick practices in Southington, CT and has the professional credentials of DDS. The NPI Number for Theodore Walter Zdeblick is 1336256536 and holds a License No. 6470 (CT). The current practice location address for Theodore Walter Zdeblick is 51 N Main St, Suite 2E, Southington, CT 06489 and can be reached out via phone at 860-276-9565 and via fax at 860-276-9440.

Provider Profile Details

NPI Number
1336256536
Provider Name
Theodore Walter Zdeblick
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
51 N Main St, Suite 2E, Southington, CT 06489
Phone Number
860-276-9565
Fax Number
860-276-9440
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 24, 2006
Last Update Date
April 25, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 N Main St
Suite 2E
Southington, CT 06489
Zip
06489
Phone Number
860-276-9565
Fax Number
860-276-9440
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
51 N Main St
Suite 2E
Southington, CT 06489
City
Southington
State
CT
Zip
06489
Phone Number
860-276-9565
Fax Number
860-276-9440

License Information

License Number
6470
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. Theodore W Zdeblick, DDS?

The NPI number of Dr. Theodore W Zdeblick, DDS is 1336256536. It was assigned on August 24, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Theodore W Zdeblick, DDS?

Dr. Theodore W Zdeblick, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 6470.

Where does Dr. Theodore W Zdeblick, DDS practice?

The practice location is 51 N Main St, Suite 2E, Southington, CT 06489. The office can be reached at 860-276-9565 (phone) or 860-276-9440 (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 1336256536 directly on the NPPES registry website.

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