Brete Douglas Moran in Branford - Periodontics

Brete Douglas Moran - NPI 1033260310

Brete Douglas Moran is a Periodontics in Branford, Connecticut. Brete Douglas Moran practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Brete Douglas Moran is 1033260310. The last update date is 2007-07-08.

Brete Douglas Moran's current location address is 5 S Main St, Branford, Connecticut. You can contact this provider via phone number 2034838656 and fax number 2034838664. The mailing address for Brete Douglas Moran is 5 S Main St, Branford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name Brete Douglas Moran
Address 5 S Main St, Branford, Connecticut
Phone Number 2034838656
Fax Number 2034838664
Sole Proprietor N
Credentials D.M.D.

NPI Number Detail

NPI Number 1033260310
Provider Enumeration Date 2007-01-15
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5 S Main St
City Branford
State Connecticut (CT)
Post Code 64053800
Phone Number 2034838656
Fax Number 2034838664

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 7228
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Brete Douglas Moran

What is the unique identifier code issued to Brete Douglas Moran by the Centers for Medicare & Medicaid Services?

The Brete Douglas Moran has been assigned the NPI (National Provider Identifier) 1033260310. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Brete Douglas Moran is physically located?

The Brete Douglas Moran is situated at the following address: 5 S Main St, Branford, CT 64053800.

What is Brete Douglas Moran's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Brete Douglas Moran is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.

On what date did the Brete Douglas Moran receive its 1033260310 assignment from the Centers for Medicare & Medicaid Services?

The Brete Douglas Moran was assigned its 1033260310 by the Centers for Medicare & Medicaid Services on 2007-01-15.

When was the Brete Douglas Moran's information last updated?

The Brete Douglas Moran's information was last updated on 2007-07-08.

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