Provider Demographics
NPI:1457635971
Name:ARTHUR EGOL DENTAL CENTER
Entity Type:Organization
Organization Name:ARTHUR EGOL DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:B
Authorized Official - Last Name:EGOL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-324-7611
Mailing Address - Street 1:1 STRAWBERRY HILL CT
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06902-2548
Mailing Address - Country:US
Mailing Address - Phone:203-324-7611
Mailing Address - Fax:
Practice Address - Street 1:1 STRAWBERRY HILL CT
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06902-2548
Practice Address - Country:US
Practice Address - Phone:203-324-7611
Practice Address - Fax:203-324-0036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT46341223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Multi-Specialty