Adult and Pediatric Dental Care of Westport,LLC

Organization Active NPI General Practice Dentistry · Westport, CT

NPI 1891244950 · NPPES record last updated Sep 29, 2016

Key facts

NPI
1891244950
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
Legal business name
ADULT AND PEDIATRIC DENTAL CARE OF WESTPORT,LLC
Practice address
22 Imperial Ave
Westport, CT 06880-4301
Phone
(203) 227-3709
NPI assigned
Sep 29, 2016
Organization subpart
No

Authorized official

Name
Adam J Freeman, DDS,MAGD
Title
President
Phone
(203) 227-3709

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

22 Imperial Ave
Westport, CT 06880
Phone (203) 227-1828

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223G0001X Yes

Addresses

Primary practice location

22 Imperial Ave
Westport, CT 06880-4301

Mailing address

22 Imperial Ave
Westport, CT 06880-4301
Phone (203) 227-3709

Other providers in Westport, CT

All providers in Westport, CT · General Practice Dentistry in Connecticut

Sources for this page

Verify at the official NPI Registry.