- Practice location
- 1100 Barnum Ave, Stratford, CT 06614-4901
- Phone
- 716-239-5889
- Fax
- —
- Last updated
- November 24, 2015
Elm Street Dental is a healthcare organization based in Stratford, CT. Elm Street Dental practices in Stratford, CT. The NPI Number for Elm Street Dental is 1659624393 and holds a License No. 010825 (CT). The current practice location address for Elm Street Dental is 1100 Barnum Ave, Stratford, CT 06614-4901 and can be reached out via phone at 716-239-5889.
Provider Profile Details
- NPI Number
- 1659624393
- Provider Name
- Elm Street Dental
- Provider Entity Type
- Organization
- Address
- 1100 Barnum Ave, Stratford, CT 06614-4901
- Phone Number
- 716-239-5889
- Primary Taxonomy
- Dentist · 122300000X
- Organization Subpart
- No
- Authorized Official
- Dr. Dharam Tayal, DDS · Dentist · 716-239-5889
- Other Names
- Dental Smiles (Doing Business As)
- Provider Enumeration Date
- October 18, 2012
- Last Update Date
- November 24, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1100 Barnum Ave
Stratford, CT 06614-4901 - City
- Stratford
- State
- Connecticut
- Zip
- 06614-4901
- Phone Number
- 716-239-5889
Provider Business Mailing Address Details
- Address
- 1100 Barnum Ave
Stratford, CT 06614-4901 - City
- Stratford
- State
- CT
- Zip
- 06614-4901
- Phone Number
- 716-239-5889
License Information
- License Number
- 010825
- License State
- CT
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Stratford, CT
View all Dentists in Stratford →Frequently Asked Questions
What is the NPI number of Elm Street Dental?
The NPI number of Elm Street Dental is 1659624393. It was assigned on October 18, 2012 and is currently active in the NPPES registry.
What is the specialty of Elm Street Dental?
Elm Street Dental is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 010825.
Where does Elm Street Dental practice?
The practice location is 1100 Barnum Ave, Stratford, CT 06614-4901. The office can be reached at 716-239-5889 (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 1659624393 directly on the NPPES registry website.