Lindsay Gadzik

Individual provider Active NPI General Practice Dentistry · Westport, CT

NPI 1376097741 · NPPES record last updated Aug 15, 2016

Key facts

NPI
1376097741
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
11711 (CT)
Practice address
22 Imperial Ave
Westport, CT 06880-4301
Phone
(203) 227-3709
NPI assigned
Aug 15, 2016
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Adult and Pediatric Dental Care of Westport,LLC General Practice Past Accepting new patients
Westport Dental Associates, P.C. General Practice Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11711 CT Yes

Addresses

Primary practice location

22 Imperial Ave
Westport, CT 06880-4301

Mailing address

7 Turkey Hill Cir
Westport, CT 06880-5514

Other providers in Westport, CT

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

Sources for this page

Verify at the official NPI Registry.