Kenneth S Sangiacomo in Bethel - General Practice

Kenneth S Sangiacomo - NPI 1063631679

Kenneth S Sangiacomo is a General Practice in Bethel, Connecticut. Kenneth S Sangiacomo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth S Sangiacomo is 1063631679. The last update date is 2007-07-08.

Kenneth S Sangiacomo's current location address is 27 Grassy Plain St, Bethel, Connecticut. You can contact this provider via phone number 2037435600 and fax number 2037432955. The mailing address for Kenneth S Sangiacomo is 27 Grassy Plain St, Bethel, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Kenneth S Sangiacomo
Address 27 Grassy Plain St, Bethel, Connecticut
Phone Number 2037435600
Fax Number 2037432955
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1063631679
Provider Enumeration Date 2007-04-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 27 Grassy Plain St
City Bethel
State Connecticut (CT)
Post Code 68011703
Phone Number 2037435600
Fax Number 2037432955

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7828
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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FAQs about Kenneth S Sangiacomo

What is the unique 10-digit identification code issued to Kenneth S Sangiacomo by the Centers for Medicare & Medicaid Services?

The Kenneth S Sangiacomo has been assigned the NPI (National Provider Identifier) 1063631679 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Kenneth S Sangiacomo's facilities are geographically located?

The facilities of Kenneth S Sangiacomo are physically situated at the following location: 27 Grassy Plain St, Bethel, CT, 68011703.

What is the Kenneth S Sangiacomo's area of specialization and corresponding taxonomy classification?

The Kenneth S Sangiacomo's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1063631679 to Kenneth S Sangiacomo?

The Centers for Medicare & Medicaid Services originally issued the 1063631679 to Kenneth S Sangiacomo on 2007-04-24.

When was the information regarding Kenneth S Sangiacomo, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Kenneth S Sangiacomo, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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