Reza Radmand in Stratford - Dentist

Reza Radmand - NPI 1396800702

Reza Radmand is a Dentist in Stratford, Connecticut. Reza Radmand practices all healthcare services and medical treatments related to Dentist. The NPI Number for Reza Radmand is 1396800702. The last update date is 2014-07-18.

Reza Radmand's current location address is 2318 Main St, Stratford, Connecticut. You can contact this provider via phone number 2033751649 and fax number 2033775251. The mailing address for Reza Radmand is 2318 Main St, Stratford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Reza Radmand
Address 2318 Main St, Stratford, Connecticut
Phone Number 2033751649
Fax Number 2033775251
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1396800702
Provider Enumeration Date 2006-12-26
Last Updated Date 2014-07-18

Provider Mailing Address Detail

Address 2318 Main St
City Stratford
State Connecticut (CT)
Post Code 66155966
Phone Number 2033751649
Fax Number 2033775251

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 38118
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G91540 CA --

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FAQs about Reza Radmand

What is the Reza Radmand's 1396800702?

The Reza Radmand's NPI (National Provider Identifier) Number is 1396800702. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Reza Radmand's facilities are situated?

The facilities of Reza Radmand are physically located at the following address: 2318 Main St, Stratford, CT, 66155966.

What is the Reza Radmand's specialty and taxonomy code?

The Reza Radmand's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date was the 1396800702 assigned to Reza Radmand?

The Reza Radmand was issued its 1396800702 on 2006-12-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Reza Radmand most recently updated or revised?

The details related to Reza Radmand, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-18.

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