Organization · Type 2 NPI
Revitalizing Smiles, LLC
Prosthodontics · Fairfield, CT
NPI number
1588058077
Active
Practice location
2226 Black Rock Tpke
Fairfield, CT 06825-3240
Fax (203) 366-6287
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prosthodontics Primary | 1223P0700X | 11048 (CT) |
Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Another provider at this address
Other prosthodontics providers in Fairfield
About NPI 1588058077
Revitalizing Smiles, LLC's National Provider Identifier is 1588058077, issued on Mar 24, 2015. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Fairfield, CT. The record was last updated on Mar 24, 2015.