Provider Demographics
NPI:1134148984
Name:PAGAR, DAVID MARTIN (DAVID PAGAR, DDS)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:MARTIN
Last Name:PAGAR
Suffix:
Gender:M
Credentials:DAVID PAGAR, DDS
Other - Prefix:DR
Other - First Name:DAVID
Other - Middle Name:MARTIN
Other - Last Name:PAGAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:2900 MAIN STREET UNIT 2E
Mailing Address - Street 2:UNIT 2E
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06614-4946
Mailing Address - Country:US
Mailing Address - Phone:203-375-9063
Mailing Address - Fax:203-377-6129
Practice Address - Street 1:2900 MAIN ST STE 2E
Practice Address - Street 2:UNIT 2E
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06614-4946
Practice Address - Country:US
Practice Address - Phone:203-375-9063
Practice Address - Fax:203-377-6129
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0045331223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery