Ira N Slow, DMD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

4071 Issued in CT

Practice address

1825 Barnum Ave
Suite 303
Stratford, CT 06614-5333

Phone

(203) 375-6090

Fax

(203) 375-6090

NPI assigned

Aug 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Goldberg & Marcus Dental Associates PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Stratford, CT
  • NPI 1942388210
  NPD (past)
• West Nyack Dental, PC

  • Dentist
  • West Nyack, NY
  • NPI 1417052572
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460073600000",
    "number": "1780690412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 BARNUM AVE",
            "address_2": "SUITE 303",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145333",
            "telephone_number": "203-375-6090",
            "fax_number": "203-375-6090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 BARNUM AVE",
            "address_2": "SUITE 303",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145333",
            "telephone_number": "203-375-6090",
            "fax_number": "203-375-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOW",
        "first_name": "IRA",
        "middle_name": "N",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2016-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CT",
            "license": "4071",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002040715",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sanbir Singh, DDS
• Melissa M Singleton, LMT
• Sis Acquisition LLC
• Skincare Physicians of Fairfield County, LLC
• Sleepwell LLC
• Samantha Smajla, RN, MSN, PMHNP-BC
• Barbara Smiech, APRN
• Christina Mary Smillie, MD
• Dolores Ann Smith-Ezyk, LCSW
• Ariel Cherie Smith, CDN

• Oral and Maxillofacial Surgery (Dentist) in Stratford, CT
• Providers in Stratford, CT by specialty
• Oral and Maxillofacial Surgery (Dentist) in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; 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.