Active NPIOrganization

Walter Pierog DMD

Dentist, General Practice in South Windsor, Connecticut

NPI Number1477681237
Practice location
866 Foster Street Ext, South Windsor, CT 06074-2116
Fax
860-644-6646
Last updated
August 22, 2020

Walter Pierog DMD is a healthcare organization based in South Windsor, CT. Walter Pierog DMD practices in South Windsor, CT. The NPI Number for Walter Pierog DMD is 1477681237 and holds a License No. 006392 (CT). The current practice location address for Walter Pierog DMD is 866 Foster Street Ext, South Windsor, CT 06074-2116 and can be reached out via phone at 860-644-4209 and via fax at 860-644-6646.

Provider Profile Details

NPI Number
1477681237
Provider Name
Walter Pierog DMD
Provider Entity Type
Organization
Address
866 Foster Street Ext, South Windsor, CT 06074-2116
Phone Number
860-644-4209
Fax Number
860-644-6646
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Walter Pierog, DMD · Owner · 860-644-4209
Provider Enumeration Date
March 1, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
866 Foster Street Ext
South Windsor, CT 06074-2116
Zip
06074-2116
Phone Number
860-644-4209
Fax Number
860-644-6646
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
866 Foster Street Ext
South Windsor, CT 06074-2116
City
South Windsor
State
CT
Zip
06074-2116
Phone Number
860-644-4209
Fax Number
860-644-6646

License Information

License Number
006392
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 Walter Pierog DMD?

The NPI number of Walter Pierog DMD is 1477681237. It was assigned on March 1, 2007 and is currently active in the NPPES registry.

What is the specialty of Walter Pierog DMD?

Walter Pierog DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 006392.

Where does Walter Pierog DMD practice?

The practice location is 866 Foster Street Ext, South Windsor, CT 06074-2116. The office can be reached at 860-644-4209 (phone) or 860-644-6646 (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 1477681237 directly on the NPPES registry website.

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