Vukovic, Sandra
Vukovic, Sandra is an sole proprietor health care provider with primary practice located at 51 S Whittlesey Ave , Wallingford CT 06492-4101. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Vukovic, Sandra can be contacted via phone (203) 265-3139.Contact Information
Primary practice address
51 S Whittlesey Ave
Wallingford CT 06492-4101
Phone: (203) 265-3139
Fax: (203) 265-5133
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 011226 | Connecticut |
Profile Details
| NPI number | 1346658051 |
|---|---|
| LBN Legal business name | Vukovic, Sandra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 25th, 2014 |
| Last updated | Jul 8th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346658051 | NPPES |
| Connecticut | MEDICAID | 1346658051 |
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