Stanley Deitz, DMD OMS
Dentist in Waterbury, Connecticut
1417018805- Practice location
- 188 Chase Ave, Waterbury, CT 06704-2245
- Phone
- 203-754-3818
- Fax
- 203-754-3619
- Last updated
- July 8, 2007
Stanley Deitz is a Dentist based in Waterbury, CT. Stanley Deitz practices in Waterbury, CT and has the professional credentials of DMD OMS. The NPI Number for Stanley Deitz is 1417018805 and holds a License No. 004084 (CT). The current practice location address for Stanley Deitz is 188 Chase Ave, Waterbury, CT 06704-2245 and can be reached out via phone at 203-754-3818 and via fax at 203-754-3619.
Provider Profile Details
- NPI Number
- 1417018805
- Provider Name
- Stanley Deitz
- Credential
- DMD OMS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 188 Chase Ave, Waterbury, CT 06704-2245
- Phone Number
- 203-754-3818
- Fax Number
- 203-754-3619
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 12, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 188 Chase Ave
Waterbury, CT 06704-2245 - City
- Waterbury
- State
- Connecticut
- Zip
- 06704-2245
- Phone Number
- 203-754-3818
- Fax Number
- 203-754-3619
Provider Business Mailing Address Details
- Address
- Po Box 3189
Syracuse, NY 13220-3189 - City
- Syracuse
- State
- NY
- Zip
- 13220-3189
- Phone Number
- 315-454-6000
- Fax Number
- 315-454-8650
License Information
- License Number
- 004084
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Waterbury, CT
View all Dentists in Waterbury →Frequently Asked Questions
What is the NPI number of Stanley Deitz, DMD OMS?
The NPI number of Stanley Deitz, DMD OMS is 1417018805. It was assigned on December 12, 2006 and is currently active in the NPPES registry.
What is the specialty of Stanley Deitz, DMD OMS?
Stanley Deitz, DMD OMS is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 004084.
Where does Stanley Deitz, DMD OMS practice?
The practice location is 188 Chase Ave, Waterbury, CT 06704-2245. The office can be reached at 203-754-3818 (phone) or 203-754-3619 (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 1417018805 directly on the NPPES registry website.