Cosmetic And Reconstructive Dentistry
Dentist, General Practice in Fairfield, CT. Organization (NPI-2).
NPI number1851454979
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1851454979
- Entity type
- Organization (NPI-2)
- Legal business name
- Cosmetic And Reconstructive Dentistry
- Organization subpart
- No
- Enumeration date
- Dec 19, 2006
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 8447 | CT | Yes |
Practice location
1275 Post RdFairfield, CT 06824-6015
Phone 203-254-5687
Mailing address
1275 Post RdFairfield, CT 06824-6015
Phone 203-254-5687
Authorized official
Donald William Miller
Dentist
2032556878
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Other General Practice Dentistry providers in Fairfield, CT
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- Center For Sleep And Tmj Disorders Of Fairfield, LLCNPI 1700037538
- Cosmetic And Reconstructive Dentistry Associates, P.C.NPI 1508993817
- David J Wohl DDS, PCNPI 1164469904
- Jon Gregory Davis, D.M.D.NPI 1922197359
- Richard Matthew Delvecchio, D.D.S.NPI 1164685459
All 57 General Practice Dentistry providers in Fairfield · All 1,933 providers in Fairfield
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