Paul J. Bied, D.D.S.

Individual provider Active NPI General Practice Dentistry · Old Saybrook, CT

NPI 1780701698 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1780701698
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7606 (CT)
Practice address
1160 Boston Post Rd
Old Saybrook, CT 06475-4405
Phone
(860) 388-3591
Fax
(860) 388-5338
NPI assigned
Mar 23, 2007
Sex
Male
Sole proprietor
Yes

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
7606CTMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7606 CT Yes

Addresses

Primary practice location

1160 Boston Post Rd
Old Saybrook, CT 06475-4405

Mailing address

1160 Boston Post Rd
Old Saybrook, CT 06475-4405
Phone (860) 388-3591

Other providers in Old Saybrook, CT

All providers in Old Saybrook, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.