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Contact Information

DR DENTAL OF NORWALK PC
360 CONNECTICUT AVE
NORWALK, CT06854-1824
 Phone: 201-725-0372
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for DR DENTAL OF NORWALK PC

NPI Number 1598041154
LBN Legal business name DR DENTAL OF NORWALK PC
Authorized official ARTHUR REVECHKIS - (MANAGING PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/27/2011
Last updated 10/27/2011 - About 15 years ago
Identifiers
CT License # 010025
CT Medicaid 010025
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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