Cpdental, Pllc
NPI #1568013001 in Southport, Connecticut
Provider Information
- NPI Number
- 1568013001
- Entity Type
- Organization
- Organization Name
- Cpdental, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Sep 26, 2019
- Last Updated
- Jul 20, 2020
Practice Location
- Address
- 10 JOHN ST
- City
- Southport
- State
- Connecticut
- ZIP Code
- 06890-1437
- Phone
- (203) 255-5142
Authorized Official
- Name
- DR. PAMELA GIBSON, DMD
- Title
- MEMBER
- Phone
- (203) 435-1751
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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