Active NPIIndividual providerSole proprietor

Thomas L Derienzo, DMD

Dentist, General Practice in Plantsville, Connecticut

NPI Number1861601635
Practice location
15 Cornerstone CT Unit 1, Plantsville, CT 06479-1550
Fax
—
Last updated
April 26, 2013

Thomas Louis Derienzo is a Dentist, General Practice based in Plantsville, CT. Thomas Louis Derienzo practices in Plantsville, CT and has the professional credentials of DMD. The NPI Number for Thomas Louis Derienzo is 1861601635 and holds a License No. 7271 (CT). The current practice location address for Thomas Louis Derienzo is 15 Cornerstone CT Unit 1, Plantsville, CT 06479-1550 and can be reached out via phone at 860-621-2700.

Provider Profile Details

NPI Number
1861601635
Provider Name
Thomas Louis Derienzo
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
15 Cornerstone CT Unit 1, Plantsville, CT 06479-1550
Phone Number
860-621-2700
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2007
Last Update Date
April 26, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
15 Cornerstone CT Unit 1
Plantsville, CT 06479-1550
Zip
06479-1550
Phone Number
860-621-2700
Plantsville, CT 06479Get directions →

Provider Business Mailing Address Details

Address
15 Cornerstone CT Unit 1
Plantsville, CT 06479-1550
City
Plantsville
State
CT
Zip
06479-1550
Phone Number
860-621-2700

License Information

License Number (1)
7271
License State (1)
CT
Taxonomy (1)
Dentist · 122300000X
License Number (2)
7271
License State (2)
CT
Taxonomy (2)
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 Thomas L Derienzo, DMD?

The NPI number of Thomas L Derienzo, DMD is 1861601635. It was assigned on May 21, 2007 and is currently active in the NPPES registry.

What is the specialty of Thomas L Derienzo, DMD?

Thomas L Derienzo, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 7271.

Where does Thomas L Derienzo, DMD practice?

The practice location is 15 Cornerstone CT Unit 1, Plantsville, CT 06479-1550. The office can be reached at 860-621-2700 (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 1861601635 directly on the NPPES registry website.

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