Jack D Degrado is a Prosthodontics in Stamford, Connecticut. Jack D Degrado practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Jack D Degrado is 1255468005. The last update date is 2007-07-08.
Jack D Degrado's current location address is 47 Oak St, Stamford, Connecticut. You can contact this provider via phone number 2033254700. The mailing address for Jack D Degrado is 47 Oak St, Stamford, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack D Degrado |
|---|---|
| Address | 47 Oak St, Stamford, Connecticut |
| Phone Number | 2033254700 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1255468005 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 47 Oak St |
|---|---|
| City | Stamford |
| State | Connecticut (CT) |
| Post Code | 69055316 |
| Phone Number | 2033254700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 8507 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
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What is the unique 10-digit identification code issued to Jack D Degrado by the Centers for Medicare & Medicaid Services?
The Jack D Degrado has been assigned the NPI (National Provider Identifier) 1255468005 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Jack D Degrado's facilities are situated?
The facilities of Jack D Degrado are physically located at the following address: 47 Oak St, Stamford, CT, 69055316.
What is Jack D Degrado's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jack D Degrado's specialized field of practice is Prosthodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0700X.
On what date did the Jack D Degrado receive the assignment of its 1255468005 from the Centers for Medicare & Medicaid Services?
The Jack D Degrado was issued its 1255468005 by the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the information regarding Jack D Degrado most recently updated?
The details pertaining to the Jack D Degrado, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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