Organization · Type 2 NPI

Elnazer DMD

General Practice Dentistry · Stratford, CT

NPI number 1902589922 Active

Practice location

2900 Main St Ste 2C
Stratford, CT 06614-4946

Fax (203) 377-5251

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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NPI record

NPI: 1902589922
Entity type: Organization (Type 2)
Issued: Aug 8, 2023
Last updated: Apr 23, 2024
Status: Active

Other names

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Advanced Dentistry of Connecticut · doing business as
Advanced Dentistry of Connecticut · doing business as

Authorized official

Mohamed Elnazer, DMD
Dentist
(203) 375-1649

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1902589922

Elnazer DMD's National Provider Identifier is 1902589922, issued on Aug 8, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Stratford, CT. The record was last updated on Apr 23, 2024.