NPI 1003332487
Candlewood Gentle Dental
Practice location
- Address
- 100 State Route 37 STE 104, New Fairfield, CT 06812-4024
- Phone
- (203) 746-2459
Authorised official
- Name
- Kenneth Scott Sangiacomo
- Title
- Owner
- Phone
- (203) 746-2459
Registered specialties
Dentist
Primary
Registry record
- NPI
- 1003332487
- Entity type
- Organization
- NPI issued
- 17 Aug 2017
- Record last updated
- 21 Jul 2022
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.