Provider Demographics
NPI:1104837871
Name:BARASZ, STEVEN G (DDS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:G
Last Name:BARASZ
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 DURHAM RD
Mailing Address - Street 2:OAK PARK PROF OFC SUITE #7
Mailing Address - City:MADISON
Mailing Address - State:CT
Mailing Address - Zip Code:06443
Mailing Address - Country:US
Mailing Address - Phone:203-245-5717
Mailing Address - Fax:
Practice Address - Street 1:145 DURHAM RD
Practice Address - Street 2:OAK PARK PROF OFC SUITE #7
Practice Address - City:MADISON
Practice Address - State:CT
Practice Address - Zip Code:06443
Practice Address - Country:US
Practice Address - Phone:203-245-5717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT5500122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist