Active NPIIndividual provider

Dr. Roshanak Dezfoolian, DMD

Dentist in Waterbury, Connecticut

NPI Number1952716003
Practice location
714 Chase Pkwy Ste 2A, Waterbury, CT 06708-3163
Fax
203-757-2953
Last updated
June 11, 2019

Roshanak Dezfoolian is a Dentist based in Waterbury, CT. Roshanak Dezfoolian practices in Waterbury, CT and has the professional credentials of DMD. The NPI Number for Roshanak Dezfoolian is 1952716003 and holds a License No. 011303 (CT). The current practice location address for Roshanak Dezfoolian is 714 Chase Pkwy Ste 2A, Waterbury, CT 06708-3163 and can be reached out via phone at 203-757-1455 and via fax at 203-757-2953.

Provider Profile Details

NPI Number
1952716003
Provider Name
Roshanak Dezfoolian
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
714 Chase Pkwy Ste 2A, Waterbury, CT 06708-3163
Phone Number
203-757-1455
Fax Number
203-757-2953
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
June 27, 2014
Last Update Date
June 11, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
714 Chase Pkwy Ste 2A
Waterbury, CT 06708-3163
Zip
06708-3163
Phone Number
203-757-1455
Fax Number
203-757-2953
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
120 Little Fox Ln
Southbury, CT 06488-4640
City
Southbury
State
CT
Zip
06488-4640

License Information

License Number
011303
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. Roshanak Dezfoolian, DMD?

The NPI number of Dr. Roshanak Dezfoolian, DMD is 1952716003. It was assigned on June 27, 2014 and is currently active in the NPPES registry.

What is the specialty of Dr. Roshanak Dezfoolian, DMD?

Dr. Roshanak Dezfoolian, DMD is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 011303.

Where does Dr. Roshanak Dezfoolian, DMD practice?

The practice location is 714 Chase Pkwy Ste 2A, Waterbury, CT 06708-3163. The office can be reached at 203-757-1455 (phone) or 203-757-2953 (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 1952716003 directly on the NPPES registry website.

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