Castellanos, Paola Andrea

Castellanos, Paola Andrea is an individual health care provider with primary practice located at 428 Columbus Ave , New Haven CT 06519-1233. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Castellanos, Paola Andrea can be contacted via phone (203) 503-3040.

Contact Information

Primary practice address
428 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3040
Fax: (203) 503-3187
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 010788 Connecticut

Profile Details

NPI number 1205129426
LBN Legal business name Castellanos, Paola Andrea
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2011
Last updated Mar 7th, 2023 - about last year

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 1205129426 NPPES
Connecticut MEDICAID 004234770
Connecticut Other 53187

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