Peter Gletzakos, DMD
Dentist in Portland, Connecticut
1669581369- Practice location
- 595 Main Street, Portland, CT 06480-1156
- Phone
- 860-342-4502
- Fax
- 860-342-5474
- Last updated
- July 8, 2007
Peter Gletzakos is a Dentist based in Portland, CT. Peter Gletzakos practices in Portland, CT and has the professional credentials of DMD. The NPI Number for Peter Gletzakos is 1669581369 and holds a License No. 8252 (CT). The current practice location address for Peter Gletzakos is 595 Main Street, Portland, CT 06480-1156 and can be reached out via phone at 860-342-4502 and via fax at 860-342-5474.
Provider Profile Details
- NPI Number
- 1669581369
- Provider Name
- Peter Gletzakos
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 595 Main Street, Portland, CT 06480-1156
- Phone Number
- 860-342-4502
- Fax Number
- 860-342-5474
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 29, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 595 Main Street
Portland, CT 06480-1156 - City
- Portland
- State
- Connecticut
- Zip
- 06480-1156
- Phone Number
- 860-342-4502
- Fax Number
- 860-342-5474
Provider Business Mailing Address Details
- Address
- 595 Main Street
Portland, CT 06480-1156 - City
- Portland
- State
- CT
- Zip
- 06480-1156
- Phone Number
- 860-342-4502
- Fax Number
- 860-342-5474
License Information
- License Number
- 8252
- 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 Portland, CT
View all Dentists in Portland →Frequently Asked Questions
What is the NPI number of Peter Gletzakos, DMD?
The NPI number of Peter Gletzakos, DMD is 1669581369. It was assigned on August 29, 2006 and is currently active in the NPPES registry.
What is the specialty of Peter Gletzakos, DMD?
Peter Gletzakos, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 8252.
Where does Peter Gletzakos, DMD practice?
The practice location is 595 Main Street, Portland, CT 06480-1156. The office can be reached at 860-342-4502 (phone) or 860-342-5474 (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 1669581369 directly on the NPPES registry website.