Cosmetic And Reconstructive Dentistry Associates, P.C.
Dentist, General Practice in Fairfield, CT. Organization (NPI-2).
NPI number1508993817
StatusActive
Last updated in NPPESApr 17, 2012
Details
- NPI
- 1508993817
- Entity type
- Organization (NPI-2)
- Legal business name
- Cosmetic And Reconstructive Dentistry Associates, P.C.
- Organization subpart
- No
- Enumeration date
- Feb 27, 2007
- Last updated
- Apr 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4389 | CT | Yes |
| 1223G0001X | Dentist, General Practice | 5010 | CT | |
| 1223G0001X | Dentist, General Practice | 8447 | CT |
Practice location
1275 Post RdSuite 201
Fairfield, CT 06824-6015
Phone 203-255-6878 · Fax 203-319-1124
Mailing address
1275 Post RdSuit 201
Fairfield, CT 06824-6015
Phone 203-255-6878 · Fax 203-319-1124
Authorized official
Stephen Henry Guss
President
2032556878
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