Walter Pierog Dmd

LBN: Walter Pierog Dmd
Walter Pierog Dmd is an health care organization with primary practice located at 866 Foster Street Ext , South Windsor CT 06074-2116. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Walter Pierog Dmd can be contacted via phone (860) 644-4209, or through Pierog, Walter via phone (860) 644-4209.

Contact Information

Primary practice address
866 Foster Street Ext South Windsor CT 06074-2116
Phone: (860) 644-4209
Fax: (860) 644-6646
Website:
Map and Directions
Authorized official contact:
Name: Pierog, Walter Doctor of Dental Medicine (DMD)
Phone: (860) 644-4209

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 006392 Connecticut

Profile Details

NPI number 1477681237
LBN Legal business name Walter Pierog Dmd
DBA Doing business as
Authorized official Pierog, Walter Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 1st, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477681237 NPPES
Connecticut Other 1285643361 1223G0001X

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