Dental Care Kids | |
1500 Summer St Stamford CT 06905-5132 | |
(203) 324-6171 | |
Not Available |
Full Name | Dental Care Kids |
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Speciality | Dentist - Pediatric Dentistry |
Location | 1500 Summer St, Stamford, Connecticut |
Authorized Official Name and Position | Jermoe M Simon (DENTIST/OWNER) |
Authorized Official Contact | 2033246171 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dental Care Kids 1500 Summer St Stamford CT 06905-5132 Ph: (203) 324-6171 | Dental Care Kids 1500 Summer St Stamford CT 06905-5132 Ph: (203) 324-6171 |
NPI Number | 1144410010 |
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Provider Enumeration Date | 07/27/2007 |
Last Update Date | 01/21/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144410010 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 008644 (* (Not Available)) | Secondary |
1223P0221X | Dentist - Pediatric Dentistry | 4500 (Connecticut) | Primary |
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