Active NPIIndividual providerSole proprietor

Dominick P Agostin, DDS

Dentist, General Practice in Wilton, Connecticut

NPI Number1609974047
Practice location
15 Old Ridgefield RD, Wilton, CT 06897-3013
Fax
203-762-7002
Last updated
July 8, 2007

Dominick Peter Agostin is a Dentist, General Practice based in Wilton, CT. Dominick Peter Agostin practices in Wilton, CT and has the professional credentials of DDS. The NPI Number for Dominick Peter Agostin is 1609974047 and holds a License No. 4584 (CT). The current practice location address for Dominick Peter Agostin is 15 Old Ridgefield RD, Wilton, CT 06897-3013 and can be reached out via phone at 203-762-9907 and via fax at 203-762-7002.

Provider Profile Details

NPI Number
1609974047
Provider Name
Dominick Peter Agostin
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
15 Old Ridgefield RD, Wilton, CT 06897-3013
Phone Number
203-762-9907
Fax Number
203-762-7002
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
September 20, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Old Ridgefield RD
Wilton, CT 06897-3013
City
Wilton
Zip
06897-3013
Phone Number
203-762-9907
Fax Number
203-762-7002
Wilton, CT 06897Get directions →

Provider Business Mailing Address Details

Address
15 Old Ridgefield RD
Wilton, CT 06897-3013
City
Wilton
State
CT
Zip
06897-3013
Phone Number
203-762-9907
Fax Number
203-762-7002

License Information

License Number
4584
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.

Other Dentist, General Practice providers near Wilton, CT

View all Dentist, General Practice providers in Wilton →

Frequently Asked Questions

What is the NPI number of Dominick P Agostin, DDS?

The NPI number of Dominick P Agostin, DDS is 1609974047. It was assigned on September 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dominick P Agostin, DDS?

Dominick P Agostin, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 4584.

Where does Dominick P Agostin, DDS practice?

The practice location is 15 Old Ridgefield RD, Wilton, CT 06897-3013. The office can be reached at 203-762-9907 (phone) or 203-762-7002 (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 1609974047 directly on the NPPES registry website.

Browse related providers