| Fairfield County Implants And Periodontics | |
|
1047 Old Post Rd Fairfield CT 06824-5906 | |
| (203) 254-2006 | |
| (203) 254-9201 |
| Full Name | Fairfield County Implants And Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1047 Old Post Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Michael Kevin Sonick (MANAGING PARTNER) |
| Authorized Official Contact | 2032542006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield County Implants And Periodontics 1047 Old Post Rd Fairfield CT 06824-5906 Ph: (203) 254-2006 | Fairfield County Implants And Periodontics 1047 Old Post Rd Fairfield CT 06824-5906 Ph: (203) 254-2006 |
| NPI Number | 1518401702 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518401702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6434 (Connecticut) | Primary |
Gp Dentistry Fairfield, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Post Rd, Fairfield, CT 06824 Phone: 203-255-2493 Fax: 203-255-9468 | |
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