Active NPI
Howard Twersky, DMD
- Oral and Maxillofacial Surgery (Dentist)
- Bridgeport, CT
National Provider Identifier
1831109396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 7764
- Practice address
- 4747 Main St
Bridgeport, CT 06606-1804 - Phone
- (203) 371-5595
- Fax
- (203) 372-4912
- NPI assigned
- Aug 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 7764 | CT | Primary |
Addresses
Primary practice location
4747 Main St
Bridgeport, CT 06606-1804
Mailing address
4747 Main St
Bridgeport, CT 06606-1804
Phone (203) 371-5595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7764 | CT | MD | Oral and Maxillofacial Surgery (Dentist) |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831109396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066061804",
"telephone_number": "203-371-5595",
"fax_number": "203-372-4912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 MAIN ST",
"city": "BRIDGEPORT",
"state": "CT",
"postal_code": "066061804",
"telephone_number": "203-371-5595",
"fax_number": "203-372-4912"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TWERSKY",
"first_name": "HOWARD",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "CT",
"license": "7764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.