| Gp Dentistry Fairfield, Llc | |
|
400 Post Rd Fairfield CT 06824-6244 | |
| (203) 255-2493 | |
| (203) 255-9468 |
| Full Name | Gp Dentistry Fairfield, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 400 Post Rd, Fairfield, Connecticut |
| Authorized Official Name and Position | Kosha Shah (OWNER DENTIST) |
| Authorized Official Contact | 6502888453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gp Dentistry Fairfield, Llc 400 Post Rd Fairfield CT 06824-6244 Ph: (203) 255-2493 | Gp Dentistry Fairfield, Llc 400 Post Rd Fairfield CT 06824-6244 Ph: (203) 255-2493 |
| NPI Number | 1003266362 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 06/20/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003266362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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