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Modern Family Dental
Oral and Maxillofacial Surgery (Dentist) in Stratford, Connecticut
NPI 1386035707

Modern Family Dental is a Oral and Maxillofacial Surgery (Dentist) based in Stratford, CT and is specialized in Oral and Maxillofacial Surgery. Modern Family Dental practices in Stratford, CT. The NPI Number for Modern Family Dental is 1386035707 and holds a License No. (Connecticut).

The current practice location address for Modern Family Dental is 360 Boston Ave, Stratford, CT and can be reached out via phone at 860-437-3462 and via fax at 860-437-3485.

Location: 360 Boston Ave, Stratford, CT, 06614-5213
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386035707
Provider Name
Modern Family Dental
Credential
Provider Entity Type
Organization
Address
360 Boston Ave, Stratford, CT, 06614-5213
Phone Number
860-437-3462
Fax Number
860-437-3485
Provider Enumeration Date
02/06/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1386035707 05 CT
1942579768 05 CT
institution
Provider Business Practice Location Address Details
Address
360 Boston Ave
City
Stratford
State
Connecticut
Zip
06614-5213
Phone Number
860-437-3462
Fax Number
860-437-3485
person
Provider Business Mailing Address Details
Address
360 Boston Ave
City
Stratford
State
Connecticut
Zip
06614-5213
Phone Number
860-437-3462
Fax Number
860-437-3485
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
(Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
(Connecticut)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 3
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
()
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
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