Bruce Eliot Komarow is a Dentist in Avon, Connecticut. Bruce Eliot Komarow practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bruce Eliot Komarow is 1932311453. The last update date is 2007-07-08.
Bruce Eliot Komarow's current location address is 40 Dale Road, Avon, Connecticut. You can contact this provider via phone number 8606772171 and fax number 8606772427. The mailing address for Bruce Eliot Komarow is 40 Dale Road, Avon, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Eliot Komarow |
|---|---|
| Address | 40 Dale Road, Avon, Connecticut |
| Phone Number | 8606772171 |
| Fax Number | 8606772427 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1932311453 |
|---|---|
| Provider Enumeration Date | 2007-05-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 40 Dale Road |
|---|---|
| City | Avon |
| State | Connecticut (CT) |
| Post Code | 6001 |
| Phone Number | 8606772171 |
| Fax Number | 8606772427 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 6508 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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What is the unique 10-digit identifier code issued to Bruce Eliot Komarow by the Centers for Medicare & Medicaid Services?
The Bruce Eliot Komarow has been assigned the NPI (National Provider Identifier) 1932311453 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Bruce Eliot Komarow is geographically located?
The Bruce Eliot Komarow is physically situated at the following location: 40 Dale Road, Avon, CT, 6001.
What is the Bruce Eliot Komarow's specialty and taxonomy code?
The Bruce Eliot Komarow's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932311453 to Bruce Eliot Komarow?
The Bruce Eliot Komarow received its 1932311453 assignment from the Centers for Medicare & Medicaid Services on 2007-05-04.
As of what date was the information regarding Bruce Eliot Komarow, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Bruce Eliot Komarow, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.