Active NPIOrganization

Cpdental, PLLC

Dentist, General Practice in Southport, Connecticut

NPI Number1568013001
Practice location
10 John St, Southport, CT 06890-1437
Fax
203-259-5954
Last updated
July 20, 2020

Cpdental, PLLC is a healthcare organization based in Southport, CT. Cpdental, PLLC practices in Southport, CT. The NPI Number for Cpdental, PLLC is 1568013001. The current practice location address for Cpdental, PLLC is 10 John St, Southport, CT 06890-1437 and can be reached out via phone at 203-255-5142 and via fax at 203-259-5954.

Provider Profile Details

NPI Number
1568013001
Provider Name
Cpdental, PLLC
Provider Entity Type
Organization
Address
10 John St, Southport, CT 06890-1437
Phone Number
203-255-5142
Fax Number
203-259-5954
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Pamela Gibson, DMD · Member · 203-435-1751
Other Names
Southport Family Dental (Doing Business As)
Provider Enumeration Date
September 26, 2019
Last Update Date
July 20, 2020
Certification Date
July 20, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 John St
Southport, CT 06890-1437
Zip
06890-1437
Phone Number
203-255-5142
Fax Number
203-259-5954
Southport, CT 06890Get directions →

Provider Business Mailing Address Details

Address
10 John St
Southport, CT 06890-1437
City
Southport
State
CT
Zip
06890-1437
Phone Number
203-255-5142

License Information

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 Cpdental, PLLC?

The NPI number of Cpdental, PLLC is 1568013001. It was assigned on September 26, 2019 and is currently active in the NPPES registry.

What is the specialty of Cpdental, PLLC?

Cpdental, PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Cpdental, PLLC practice?

The practice location is 10 John St, Southport, CT 06890-1437. The office can be reached at 203-255-5142 (phone) or 203-259-5954 (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 1568013001 directly on the NPPES registry website.

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