Active NPIIndividual providerSole proprietor

Dr. Bruce E Komarow, DMD

Dentist in Avon, Connecticut

NPI Number1932311453
Practice location
40 Dale Road, Avon, CT 06001
Fax
860-677-2427
Last updated
July 8, 2007

Bruce Eliot Komarow is a Dentist based in Avon, CT. Bruce Eliot Komarow practices in Avon, CT and has the professional credentials of DMD. The NPI Number for Bruce Eliot Komarow is 1932311453 and holds a License No. 6508 (CT). The current practice location address for Bruce Eliot Komarow is 40 Dale Road, Avon, CT 06001 and can be reached out via phone at 860-677-2171 and via fax at 860-677-2427.

Provider Profile Details

NPI Number
1932311453
Provider Name
Bruce Eliot Komarow
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
40 Dale Road, Avon, CT 06001
Phone Number
860-677-2171
Fax Number
860-677-2427
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
May 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Dale Road
Avon, CT 06001
City
Avon
Zip
06001
Phone Number
860-677-2171
Fax Number
860-677-2427
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
40 Dale Road
Avon, CT 06001
City
Avon
State
CT
Zip
06001
Phone Number
860-677-2171
Fax Number
860-677-2427

License Information

License Number
6508
License State
CT
Taxonomy
Dentist · 122300000X · 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 Dr. Bruce E Komarow, DMD?

The NPI number of Dr. Bruce E Komarow, DMD is 1932311453. It was assigned on May 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Bruce E Komarow, DMD?

Dr. Bruce E Komarow, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 6508.

Where does Dr. Bruce E Komarow, DMD practice?

The practice location is 40 Dale Road, Avon, CT 06001. The office can be reached at 860-677-2171 (phone) or 860-677-2427 (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 1932311453 directly on the NPPES registry website.

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