Active NPIIndividual providerSole proprietor

Dr. Reza Radmand, DMD

Dentist, General Practice in Stratford, Connecticut

NPI Number1396800702
Practice location
2318 Main St, Stratford, CT 06615-5966
Fax
203-377-5251
Last updated
July 18, 2014

Reza Radmand is a Dentist, General Practice based in Stratford, CT. Reza Radmand practices in Stratford, CT and has the professional credentials of DMD. The NPI Number for Reza Radmand is 1396800702 and holds a License No. 38118 (CA). The current practice location address for Reza Radmand is 2318 Main St, Stratford, CT 06615-5966 and can be reached out via phone at 203-375-1649 and via fax at 203-377-5251.

Provider Profile Details

NPI Number
1396800702
Provider Name
Reza Radmand
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
2318 Main St, Stratford, CT 06615-5966
Phone Number
203-375-1649
Fax Number
203-377-5251
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
December 26, 2006
Last Update Date
July 18, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2318 Main St
Stratford, CT 06615-5966
Zip
06615-5966
Phone Number
203-375-1649
Fax Number
203-377-5251
Stratford, CT 06615Get directions →

Provider Business Mailing Address Details

Address
2318 Main St
Stratford, CT 06615-5966
City
Stratford
State
CT
Zip
06615-5966
Phone Number
203-375-1649
Fax Number
203-377-5251

License Information

License Number (1)
38118
License State (1)
CA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
10264
License State (2)
CT
Taxonomy (2)
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. Reza Radmand, DMD?

The NPI number of Dr. Reza Radmand, DMD is 1396800702. It was assigned on December 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Reza Radmand, DMD?

Dr. Reza Radmand, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CA under license number 38118.

Where does Dr. Reza Radmand, DMD practice?

The practice location is 2318 Main St, Stratford, CT 06615-5966. The office can be reached at 203-375-1649 (phone) or 203-377-5251 (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 1396800702 directly on the NPPES registry website.

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