Oresta Bilous

Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Orange, CT

NPI 1609016146 · NPPES record last updated Feb 24, 2009

Key facts

NPI
1609016146
Entity type
Individual (NPI type 1)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
License
008859 (CT)
Practice address
185 Boston Post Rd
Orange, CT 06477-3200
Phone
(203) 799-0600
Fax
(203) 799-0550
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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

State licenses

LicenseStateTypeSpecialty
008859CTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Amy Orthodontics Orthodontics and Dentofacial Orthopedics Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 008859 CT Yes

Addresses

Primary practice location

185 Boston Post Rd
Orange, CT 06477-3200

Mailing address

185 Boston Post Rd
Orange, CT 06477-3200
Phone (203) 799-0600

Other providers in Orange, CT

All providers in Orange, CT · Orthodontics and Dentofacial Orthopedics Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.