Constantina Bacopoulou in Middletown - Dentist
Constantina Bacopoulou - NPI 1457549610
Constantina Bacopoulou is a Dentist in Middletown, Connecticut. Constantina Bacopoulou practices all healthcare services and medical treatments related to Dentist. The NPI Number for Constantina Bacopoulou is 1457549610. The last update date is 2011-02-07.
Constantina Bacopoulou's current location address is 635 Main St, Middletown, Connecticut. You can contact this provider via phone number 8603476971 and fax number 8606386601. The mailing address for Constantina Bacopoulou is 635 Main St, Middletown, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Constantina Bacopoulou |
|---|---|
| Address | 635 Main St, Middletown, Connecticut |
| Phone Number | 8603476971 |
| Fax Number | 8606386601 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1457549610 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2011-02-07 |
Provider Mailing Address Detail
| Address | 635 Main St |
|---|---|
| City | Middletown |
| State | Connecticut (CT) |
| Post Code | 64572718 |
| Phone Number | 8603476971 |
| Fax Number | 8606386601 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 54899 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4236354 | CT | -- |
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What is the unique identifier code issued to Constantina Bacopoulou by the Centers for Medicare & Medicaid Services?
The Constantina Bacopoulou has been assigned the NPI (National Provider Identifier) 1457549610. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Constantina Bacopoulou's physical address?
The Constantina Bacopoulou is physically located at 635 Main St, in the city of Middletown, CT, with the postal code 64572718.
What is Constantina Bacopoulou's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Constantina Bacopoulou is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did the Constantina Bacopoulou receive the assignment of its 1457549610 from the Centers for Medicare & Medicaid Services?
The Constantina Bacopoulou was issued its 1457549610 by the Centers for Medicare & Medicaid Services on 2007-10-11.
As of what date were the Constantina Bacopoulou's details last updated?
The information pertaining to the Constantina Bacopoulou, including its address, specialty, and other details, was most recently updated on 2011-02-07.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY