Dr. Edward Mirzoian, DMD
Dentist in Manchester, Connecticut
1851827828- Practice location
- 179 Deming St Ste A, Manchester, CT 06042-7131
- Phone
- 860-644-6500
- Fax
- —
- Last updated
- July 1, 2020
Edward Mirzoian is a Dentist based in Manchester, CT. Edward Mirzoian practices in Manchester, CT and has the professional credentials of DMD. The NPI Number for Edward Mirzoian is 1851827828 and holds a License No. 12798 (CT). The current practice location address for Edward Mirzoian is 179 Deming St Ste A, Manchester, CT 06042-7131 and can be reached out via phone at 860-644-6500.
Provider Profile Details
- NPI Number
- 1851827828
- Provider Name
- Edward Mirzoian
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 179 Deming St Ste A, Manchester, CT 06042-7131
- Phone Number
- 860-644-6500
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 11, 2017
- Last Update Date
- July 1, 2020
- Certification Date
- July 1, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 179 Deming St Ste A
Manchester, CT 06042-7131 - City
- Manchester
- State
- Connecticut
- Zip
- 06042-7131
- Phone Number
- 860-644-6500
Provider Business Mailing Address Details
- Address
- 1021 Maple Ave
Hartford, CT 06114-2733 - City
- Hartford
- State
- CT
- Zip
- 06114-2733
- Phone Number
- 860-977-9966
License Information
- License Number
- 12798
- 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. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Edward Mirzoian, DMD?
The NPI number of Dr. Edward Mirzoian, DMD is 1851827828. It was assigned on May 11, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Edward Mirzoian, DMD?
Dr. Edward Mirzoian, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 12798.
Where does Dr. Edward Mirzoian, DMD practice?
The practice location is 179 Deming St Ste A, Manchester, CT 06042-7131. The office can be reached at 860-644-6500 (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 1851827828 directly on the NPPES registry website.