| Alan D Schupack Dds Llc | |
|
850 No Main Street Extension Suite 2b Wallingford CT 06492 | |
| (203) 269-4249 | |
| (203) 294-4444 |
| Full Name | Alan D Schupack Dds Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 850 No Main Street Extension, Wallingford, Connecticut |
| Authorized Official Name and Position | Alan David Schupack (MANAGER) |
| Authorized Official Contact | 2032944444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan D Schupack Dds Llc 850 No Main Street Extension Suite 2b Wallingford CT 06492 Ph: (203) 269-4249 | Alan D Schupack Dds Llc 850 No Main Street Extension Suite 2b Wallingford CT 06492 Ph: (203) 269-4249 |
| NPI Number | 1356492185 |
|---|---|
| Provider Enumeration Date | 01/16/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356492185 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6675 (Connecticut) | Primary |
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