Provider Demographics
NPI:1548864218
Name:D'ANDREA DENTAL P.C.
Entity type:Organization
Organization Name:D'ANDREA DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ANDREA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-761-0223
Mailing Address - Street 1:44 OLD RIDGEFIELD RD.
Mailing Address - Street 2:SUITE 212
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897
Mailing Address - Country:US
Mailing Address - Phone:203-761-0223
Mailing Address - Fax:203-834-2249
Practice Address - Street 1:44 OLD RIDGEFIELD RD.
Practice Address - Street 2:SUITE 212
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897
Practice Address - Country:US
Practice Address - Phone:203-761-0223
Practice Address - Fax:203-834-2249
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty