Fairfield County Implants & Periodontics, Pc | |
1047 Old Post Rd Fairfield CT 06824-5906 | |
(203) 254-2006 | |
(203) 254-9201 |
Full Name | Fairfield County Implants & Periodontics, Pc |
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Speciality | Dentist - Periodontics |
Location | 1047 Old Post Rd, Fairfield, Connecticut |
Authorized Official Name and Position | Carole Brown Sonick (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 2032542006 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fairfield County Implants & Periodontics, Pc 1047 Old Post Rd Fairfield CT 06824-5906 Ph: (203) 254-2006 | Fairfield County Implants & Periodontics, Pc 1047 Old Post Rd Fairfield CT 06824-5906 Ph: (203) 254-2006 |
NPI Number | 1952556797 |
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Provider Enumeration Date | 11/20/2008 |
Last Update Date | 11/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952556797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | 6454 (Connecticut) | Primary |
1223P0300X | Dentist - Periodontics | 9583 (Connecticut) | Secondary |
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