Bird, Robert James

Bird, Robert James is an individual health care provider with primary practice located at 60 Church St , Canaan CT 06018-2481. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bird, Robert James can be contacted via phone (860) 824-5101.

Contact Information

Primary practice address
60 Church St Canaan CT 06018-2481
Phone: (860) 824-5101
Fax: (860) 824-9966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 006455 Connecticut

Profile Details

NPI number 1518997436
LBN Legal business name Bird, Robert James
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Feb 5th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518997436 NPPES
Connecticut Other 020006455CT01 ANTHEM BLUE BC/BS

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