Kelly Palchik DMD, PC

Organization Active NPI Dentist · Woodbury, CT

NPI 1003212937 · NPPES record last updated Nov 4, 2014

Key facts

NPI
1003212937
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
010935 (CT)
Legal business name
KELLY PALCHIK DMD, PC
Practice address
84 Main St S
Woodbury, CT 06798-3403
Phone
(203) 263-2853
Fax
(203) 263-2859
NPI assigned
Nov 4, 2014
Organization subpart
No

Authorized official

Name
Dr. Kelly Palchik, D.M.D
Title
Owner
Phone
(203) 263-2853

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 010935 CT Yes

Addresses

Primary practice location

84 Main St S
Woodbury, CT 06798-3403

Mailing address

84 Main St S
PO Box 407
Woodbury, CT 06798-3403
Phone (203) 263-2853

Other providers in Woodbury, CT

All providers in Woodbury, CT · Dentist in Connecticut

Sources for this page

Verify at the official NPI Registry.