Connecticut Dental Professionals, P.c.
NPI #1104387489 in Norwalk, Connecticut
Provider Information
- NPI Number
- 1104387489
- Entity Type
- Organization
- Organization Name
- Connecticut Dental Professionals, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CONNECTICUT DENTAL PROFESSIONALS, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 28, 2019
- Last Updated
- Mar 28, 2019
Practice Location
- Address
- 111 EAST AVE STE 200
- City
- Norwalk
- State
- Connecticut
- ZIP Code
- 06851-5014
- Phone
- (203) 866-8585
Authorized Official
- Name
- TABATHA LEMKE
- Title
- CREDENTIALING COORDINATOR
- Phone
- (217) 540-6078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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