Walter Pierog Dmd in South Windsor - General Practice
Walter Pierog Dmd - NPI 1477681237
Walter Pierog Dmd is a General Practice in South Windsor, Connecticut. Walter Pierog Dmd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Walter Pierog Dmd is 1477681237. The last update date is 2020-08-22.
Walter Pierog Dmd's current location address is 866 Foster Street Ext, South Windsor, Connecticut. You can contact this provider via phone number 8606444209 and fax number 8606446646. The mailing address for Walter Pierog Dmd is 866 Foster Street Ext, South Windsor, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Walter Pierog Dmd |
|---|---|
| Address | 866 Foster Street Ext, South Windsor, Connecticut |
| Phone Number | 8606444209 |
| Fax Number | 8606446646 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Pierog Walter |
| Credentials | DMD |
| Telephone Number | 8606444209 |
NPI Number Detail
| NPI Number | 1477681237 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 866 Foster Street Ext |
|---|---|
| City | South Windsor |
| State | Connecticut (CT) |
| Post Code | 60742116 |
| Phone Number | 8606444209 |
| Fax Number | 8606446646 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 6392 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1285643361 | CT | 1223G0001X |
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What is the Walter Pierog Dmd's 1477681237?
The Walter Pierog Dmd's NPI (National Provider Identifier) Number is 1477681237. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Walter Pierog Dmd?
The Walter Pierog Dmd is physically situated at 866 Foster Street Ext, in the city of South Windsor, state of CT, with the postal code 60742116.
What is the Walter Pierog Dmd's specialty and taxonomy code?
The Walter Pierog Dmd's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477681237 to Walter Pierog Dmd?
The Centers for Medicare & Medicaid Services originally issued the 1477681237 to Walter Pierog Dmd on 2007-03-01.
As of what date were the Walter Pierog Dmd's details last updated?
The information pertaining to the Walter Pierog Dmd, including its address, specialty, and other details, was most recently updated on 2020-08-22.
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