NPI 1003266362

Gp Dentistry Fairfield, LLC

Organisation General Practice Dentistry Fairfield, CT

Practice location

Address: 400 Post Rd, Fairfield, CT 06824-6244
Phone: (203) 255-2493
Fax: (203) 255-9468

Authorised official

Name: Kosha Shah
Title: Owner Dentist
Phone: (650) 288-8453

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X

Other Dentist providers in Connecticut →

Registry record

NPI: 1003266362
Entity type: Organization
NPI issued: 17 Jun 2016
Record last updated: 20 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.