Provider Demographics
NPI:1568699692
Name:HENRY K. DANZIGER DDS
Entity Type:Organization
Organization Name:HENRY K. DANZIGER DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:K
Authorized Official - Last Name:DANZIGER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:203-729-0563
Mailing Address - Street 1:297 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:NAUGATUCK
Mailing Address - State:CT
Mailing Address - Zip Code:06770-2840
Mailing Address - Country:US
Mailing Address - Phone:203-729-0563
Mailing Address - Fax:203-723-9997
Practice Address - Street 1:297 CHURCH ST
Practice Address - Street 2:
Practice Address - City:NAUGATUCK
Practice Address - State:CT
Practice Address - Zip Code:06770-2840
Practice Address - Country:US
Practice Address - Phone:203-729-0563
Practice Address - Fax:203-723-9997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-16
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty