| Robert Axelrod Dentistry Llc | |
|
105 Technology Dr Suite 2b Trumbull CT 06611-6348 | |
| (203) 261-8749 | |
| Not Available |
| Full Name | Robert Axelrod Dentistry Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 105 Technology Dr, Trumbull, Connecticut |
| Authorized Official Name and Position | Robert Axelrod (DENTIST/OWNER) |
| Authorized Official Contact | 2032618749 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Axelrod Dentistry Llc 105 Technology Dr Suite 2b Trumbull CT 06611-6348 Ph: (203) 261-8749 | Robert Axelrod Dentistry Llc 105 Technology Dr Suite 2b Trumbull CT 06611-6348 Ph: (203) 261-8749 |
| NPI Number | 1780951715 |
|---|---|
| Provider Enumeration Date | 11/18/2011 |
| Last Update Date | 11/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780951715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 006018 (Connecticut) | Primary |
| 1223G0001X | Dentist - General Practice | 8972 (Connecticut) | Secondary |
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