Active NPIOrganization

Imperial Dental Assoc., PC

Dentist, General Practice in Westport, Connecticut

NPI Number1669795381
Practice location
15 Imperial Ave, Westport, CT 06880-4302
Fax
203-454-8710
Last updated
March 10, 2010

Imperial Dental Assoc., PC is a healthcare organization based in Westport, CT. Imperial Dental Assoc., PC practices in Westport, CT. The NPI Number for Imperial Dental Assoc., PC is 1669795381 and holds a License No. 008429 (CT). The current practice location address for Imperial Dental Assoc., PC is 15 Imperial Ave, Westport, CT 06880-4302 and can be reached out via phone at 203-227-2520 and via fax at 203-454-8710.

Provider Profile Details

NPI Number
1669795381
Provider Name
Imperial Dental Assoc., PC
Provider Entity Type
Organization
Address
15 Imperial Ave, Westport, CT 06880-4302
Phone Number
203-227-2520
Fax Number
203-454-8710
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Dr. Marilyn Geni-Blaney, MD · Owner · 203-227-2520
Provider Enumeration Date
March 9, 2010
Last Update Date
March 10, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Imperial Ave
Westport, CT 06880-4302
Zip
06880-4302
Phone Number
203-227-2520
Fax Number
203-454-8710
Westport, CT 06880Get directions →

Provider Business Mailing Address Details

Address
15 Imperial Ave
Westport, CT 06880-4302
City
Westport
State
CT
Zip
06880-4302
Phone Number
203-227-2520
Fax Number
203-454-8710

License Information

License Number
008429
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.

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Frequently Asked Questions

What is the NPI number of Imperial Dental Assoc., PC?

The NPI number of Imperial Dental Assoc., PC is 1669795381. It was assigned on March 9, 2010 and is currently active in the NPPES registry.

What is the specialty of Imperial Dental Assoc., PC?

Imperial Dental Assoc., PC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 008429.

Where does Imperial Dental Assoc., PC practice?

The practice location is 15 Imperial Ave, Westport, CT 06880-4302. The office can be reached at 203-227-2520 (phone) or 203-454-8710 (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 1669795381 directly on the NPPES registry website.

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