NPI 1053136846

Professional Dental Alliance of CT - Ortho, PLLC

Organisation Orthodontics and Dentofacial Orthopedics Dentistry Fairfield, CT

Practice location

Address: 1476 Post Rd, Fairfield, CT 06824-5937
Phone: (203) 292-9596
Mailing address: 125 Enterprise Dr, Pittsburgh, PA 15275-1223

Authorised official

Name: Erica Quinteros
Title: Credentialing
Phone: (724) 901-1964

Registered specialties

Orthodontics and Dentofacial Orthopedics Dentistry Primary

Dental Providers Taxonomy 1223X0400X

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Registry record

NPI: 1053136846
Entity type: Organization
NPI issued: 18 Nov 2024
Record last updated: 18 Nov 2024

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.