Provider Demographics
NPI:1508880931
Name:MCEWAN, NED LAUDER (DDS)
Entity Type:Individual
Prefix:DR
First Name:NED
Middle Name:LAUDER
Last Name:MCEWAN
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 1:36 HOYT ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-5601
Mailing Address - Country:US
Mailing Address - Phone:203-323-5820
Mailing Address - Fax:203-348-9885
Practice Address - Street 1:36 HOYT ST
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-5601
Practice Address - Country:US
Practice Address - Phone:203-323-5820
Practice Address - Fax:203-348-9885
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT63531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice