Madhumietha Arumugam, DMD

Individual provider Active NPI General Practice Dentistry · Stamford, CT

NPI 1154981561 · NPPES record last updated Feb 1, 2021

Key facts

NPI
1154981561
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
2.012553 (CT)
Practice address
1134 E Main St
Stamford, CT 06902-4315
Phone
(203) 973-7700
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2.012553CTMDGeneral Practice Dentistry
22DI02760200NJMDGeneral Practice Dentistry
DS042181PAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS042181 PA
General Practice Dentistry 1223G0001X 22DI02760200 NJ
General Practice Dentistry 1223G0001X 2.012553 CT Yes

Addresses

Primary practice location

1134 E Main St
Stamford, CT 06902-4315

Mailing address

53 Cognewaugh Rd
Cos Cob, CT 06807-1710
Phone (201) 850-7896

Other providers in Stamford, CT

All providers in Stamford, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.