David Joseph Thibault in Stamford - General Practice

David Joseph Thibault - NPI 1104953413

David Joseph Thibault is a General Practice in Stamford, Connecticut. David Joseph Thibault practices all healthcare services and medical treatments related to General Practice. The NPI Number for David Joseph Thibault is 1104953413. The last update date is 2007-07-08.

David Joseph Thibault's current location address is 15 Commerce Rd, Stamford, Connecticut. You can contact this provider via phone number 2039657795. The mailing address for David Joseph Thibault is 15 Commerce Rd, Stamford, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Name David Joseph Thibault
Address 15 Commerce Rd, Stamford, Connecticut
Phone Number 2039657795
Fax Number
Sole Proprietor Y
Credentials D.M.D.

NPI Number Detail

NPI Number 1104953413
Provider Enumeration Date 2007-02-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15 Commerce Rd
City Stamford
State Connecticut (CT)
Post Code 69024504
Phone Number 2039657795
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7085
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 David Joseph Thibault

What is the unique identifier code issued to David Joseph Thibault by the Centers for Medicare & Medicaid Services (CMS)?

The David Joseph Thibault has been assigned the NPI (National Provider Identifier) 1104953413. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where David Joseph Thibault's facilities are geographically located?

The facilities of David Joseph Thibault are physically situated at the following location: 15 Commerce Rd, Stamford, CT, 69024504.

What is David Joseph Thibault's specialized field of practice, and what is the corresponding taxonomy classification code?

The David Joseph Thibault's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1104953413 to David Joseph Thibault?

The Centers for Medicare & Medicaid Services originally issued the 1104953413 to David Joseph Thibault on 2007-02-27.

When was the information pertaining to David Joseph Thibault most recently updated or revised?

The details related to David Joseph Thibault, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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