| Stratford Orthodontics | |
|
2499 Main Street Stratford CT 06615 | |
| (860) 442-4421 | |
| (866) 837-6409 |
| Full Name | Stratford Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2499 Main Street, Stratford, Connecticut |
| Authorized Official Name and Position | Jeffrey Todd Kozlowski (PRESIDENT) |
| Authorized Official Contact | 8604424421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stratford Orthodontics 2499 Main Street Stratford CT 06615 Ph: (860) 442-4421 | Stratford Orthodontics 2499 Main Street Stratford CT 06615 Ph: (860) 442-4421 |
| NPI Number | 1700219243 |
|---|---|
| Provider Enumeration Date | 08/20/2013 |
| Last Update Date | 08/20/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700219243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 8376 (Connecticut) | Primary |
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