Active NPIIndividual provider

Dr. Ira L Cantner II, DMD

Dentist, Periodontics in Old Saybrook, Connecticut

NPI Number1629082540
Practice location
97 Elm St, Old Saybrook, CT 06475-4106
Fax
860-388-4493
Last updated
July 8, 2007

Ira Leroy Cantner is a Dentist, Periodontics based in Old Saybrook, CT. Ira Leroy Cantner practices in Old Saybrook, CT and has the professional credentials of DMD. The NPI Number for Ira Leroy Cantner is 1629082540 and holds a License No. 5330 (CT). The current practice location address for Ira Leroy Cantner is 97 Elm St, Old Saybrook, CT 06475-4106 and can be reached out via phone at 860-388-4439 and via fax at 860-388-4493.

Provider Profile Details

NPI Number
1629082540
Provider Name
Ira Leroy Cantner
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
97 Elm St, Old Saybrook, CT 06475-4106
Phone Number
860-388-4439
Fax Number
860-388-4493
Primary Taxonomy
Dentist, Periodontics · 1223P0300X
Sole Proprietor
No
Provider Enumeration Date
July 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
97 Elm St
Old Saybrook, CT 06475-4106
Zip
06475-4106
Phone Number
860-388-4439
Fax Number
860-388-4493
Old Saybrook, CT 06475Get directions →

Provider Business Mailing Address Details

Address
1 Bayberry Ridge RD
Old Lyme, CT 06371-1302
City
Old Lyme
State
CT
Zip
06371-1302
Phone Number
860-434-8663

License Information

License Number
5330
License State
CT
Taxonomy
Dentist, Periodontics · 1223P0300X · 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. Ira L Cantner II, DMD?

The NPI number of Dr. Ira L Cantner II, DMD is 1629082540. It was assigned on July 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ira L Cantner II, DMD?

Dr. Ira L Cantner II, DMD is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in CT under license number 5330.

Where does Dr. Ira L Cantner II, DMD practice?

The practice location is 97 Elm St, Old Saybrook, CT 06475-4106. The office can be reached at 860-388-4439 (phone) or 860-388-4493 (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 1629082540 directly on the NPPES registry website.

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