Edward Paul Wysocki in Portland - Dentist
Edward Paul Wysocki - NPI 1265693907
Edward Paul Wysocki is a Dentist in Portland, Connecticut. Edward Paul Wysocki practices all healthcare services and medical treatments related to Dentist. The NPI Number for Edward Paul Wysocki is 1265693907. The last update date is 2008-07-29.
Edward Paul Wysocki's current location address is 229 Main St, Portland, Connecticut. You can contact this provider via phone number 8603422516. The mailing address for Edward Paul Wysocki is 229 Main St, Portland, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Paul Wysocki |
|---|---|
| Address | 229 Main St, Portland, Connecticut |
| Phone Number | 8603422516 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1265693907 |
|---|---|
| Provider Enumeration Date | 2008-06-24 |
| Last Updated Date | 2008-07-29 |
Provider Mailing Address Detail
| Address | 229 Main St |
|---|---|
| City | Portland |
| State | Connecticut (CT) |
| Post Code | 64801858 |
| Phone Number | 8603422516 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 4929 |
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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 Edward Paul Wysocki by the Centers for Medicare & Medicaid Services?
The Edward Paul Wysocki has been assigned the NPI (National Provider Identifier) 1265693907 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Edward Paul Wysocki located?
The Edward Paul Wysocki is located at 229 Main St, Portland, CT 64801858.
What is the Edward Paul Wysocki's area of specialization and corresponding taxonomy classification?
The Edward Paul Wysocki's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Edward Paul Wysocki receive its 1265693907?
The Edward Paul Wysocki was issued its 1265693907 on 2008-06-24, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Edward Paul Wysocki last refreshed?
The information related to the Edward Paul Wysocki, including its address, specialty, and other relevant details, was last updated on 2008-07-29.