Active NPIIndividual providerSole proprietor

Dr. Christopher V Soares

Dentist, Pediatric Dentistry in Brookfield, Connecticut

NPI Number1568720613
Practice location
128 Candlewood Lake RD, Brookfield, CT 06804-2226
Fax
—
Last updated
July 1, 2022

Christopher Vijay Soares is a Dentist, Pediatric Dentistry based in Brookfield, CT. Christopher Vijay Soares practices in Brookfield, CT. The NPI Number for Christopher Vijay Soares is 1568720613 and holds a License No. 11007 (CT). The current practice location address for Christopher Vijay Soares is 128 Candlewood Lake RD, Brookfield, CT 06804-2226 and can be reached out via phone at 203-300-1394.

Provider Profile Details

NPI Number
1568720613
Provider Name
Christopher Vijay Soares
Provider Entity Type
Individual
Gender
Male
Address
128 Candlewood Lake RD, Brookfield, CT 06804-2226
Phone Number
203-300-1394
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
Yes
Provider Enumeration Date
April 26, 2012
Last Update Date
July 1, 2022
Certification Date
July 1, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
128 Candlewood Lake RD
Brookfield, CT 06804-2226
Zip
06804-2226
Phone Number
203-300-1394
Brookfield, CT 06804Get directions →

Provider Business Mailing Address Details

Address
128 Candlewood Lake RD
Brookfield, CT 06804-2226
City
Brookfield
State
CT
Zip
06804-2226
Phone Number
203-300-1394

License Information

License Number (1)
11007
License State (1)
CT
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
11007
License State (2)
CT
Taxonomy (2)
Dentist, Pediatric Dentistry · 1223P0221X · 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. Christopher V Soares?

The NPI number of Dr. Christopher V Soares is 1568720613. It was assigned on April 26, 2012 and is currently active in the NPPES registry.

What is the specialty of Dr. Christopher V Soares?

Dr. Christopher V Soares is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in CT under license number 11007.

Where does Dr. Christopher V Soares practice?

The practice location is 128 Candlewood Lake RD, Brookfield, CT 06804-2226. The office can be reached at 203-300-1394 (phone).

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 1568720613 directly on the NPPES registry website.

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