Provider Demographics
NPI:1568665305
Name:REPICCI, ALBERT JAMES (DMD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:JAMES
Last Name:REPICCI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:141 MILBANK AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6616
Mailing Address - Country:US
Mailing Address - Phone:203-869-3377
Mailing Address - Fax:203-861-0831
Practice Address - Street 1:141 MILBANK AVE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830-6616
Practice Address - Country:US
Practice Address - Phone:203-869-3377
Practice Address - Fax:203-861-0831
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT43381223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics