Derienzo, Thomas Louis
Derienzo, Thomas Louis is an sole proprietor health care provider with primary practice located at 15 Cornerstone Ct Unit 1 , Plantsville CT 06479-1550. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Derienzo, Thomas Louis can be contacted via phone (860) 621-2700.Contact Information
Primary practice address
15 Cornerstone Ct Unit 1
Plantsville CT 06479-1550
Phone: (860) 621-2700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 7271 | Connecticut |
| Dental Providers / General Practice | 1223G0001X | 7271 | Connecticut |
Profile Details
| NPI number | 1861601635 |
|---|---|
| LBN Legal business name | Derienzo, Thomas Louis |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 21st, 2007 |
| Last updated | Apr 26th, 2013 - about 11 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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