Active NPIOrganization

Professional Dental Alliance Of Ridgefield, PLLC

Dentist, General Practice in Ridgefield, Connecticut

NPI Number1811488372
Practice location
158 Danbury RD, Ridgefield, CT 06877-3227
Fax
—
Last updated
May 21, 2018

Professional Dental Alliance Of Ridgefield, PLLC is a healthcare organization based in Ridgefield, CT. Professional Dental Alliance Of Ridgefield, PLLC practices in Ridgefield, CT. The NPI Number for Professional Dental Alliance Of Ridgefield, PLLC is 1811488372. The current practice location address for Professional Dental Alliance Of Ridgefield, PLLC is 158 Danbury RD, Ridgefield, CT 06877-3227 and can be reached out via phone at 203-431-4300.

Provider Profile Details

NPI Number
1811488372
Provider Name
Professional Dental Alliance Of Ridgefield, PLLC
Provider Entity Type
Organization
Address
158 Danbury RD, Ridgefield, CT 06877-3227
Phone Number
203-431-4300
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Andrew Matta, DMD · Cmo/Owner · 724-698-2500
Other Names
Jay W Martin, DDS, PC (Doing Business As)
Provider Enumeration Date
May 21, 2018
Last Update Date
May 21, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
158 Danbury RD
Ridgefield, CT 06877-3227
Zip
06877-3227
Phone Number
203-431-4300
Ridgefield, CT 06877Get directions →

Provider Business Mailing Address Details

Address
11 S Mill St Ste 200
New Castle, PA 16101-3680
City
New Castle
State
PA
Zip
16101-3680
Phone Number
724-698-2500
Fax Number
724-652-4619

License Information

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 Professional Dental Alliance Of Ridgefield, PLLC?

The NPI number of Professional Dental Alliance Of Ridgefield, PLLC is 1811488372. It was assigned on May 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Professional Dental Alliance Of Ridgefield, PLLC?

Professional Dental Alliance Of Ridgefield, PLLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Professional Dental Alliance Of Ridgefield, PLLC practice?

The practice location is 158 Danbury RD, Ridgefield, CT 06877-3227. The office can be reached at 203-431-4300 (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 1811488372 directly on the NPPES registry website.

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