Fairfield Family Dental Group PC

Primary specialty

DentistTaxonomy code 122300000X

License

9408 Issued in CT

Legal business name

FAIRFIELD FAMILY DENTAL GROUP PC

Practice address

320 Kings Hwy E
Fairfield, CT 06825-4813

Phone

(203) 337-6262

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Schwab

Title

Owner

Phone

(203) 247-4091

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1710342050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 KINGS HWY E",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 KINGS HWY E",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068254813",
            "telephone_number": "203-337-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD FAMILY DENTAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "SCHWAB",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-247-4091"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CT",
            "license": "9408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Fairfield Dental Associates PC
• Fairfield Dermatology, P.C.
• Fairfield Family Health
• Fairfield Family Therapy, LLC
• Fairfield Interventional and Vascular Specialists PC
• Fairfield Medical Group, LLC
• Fairfield Neuropsychology LLC

• Dentist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Dentist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.