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Organization
FAIRFIELD PERIODONTICS, LLC
Active
Organization
FAIRFIELD PERIODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARY ALAN SHAPOFF DDS (MANAGING PARTNER)
(203) 255-7771
Entity
Organization
Contact information
Practice address
71 BEACH RD, FAIRFIELD, CT 06824-6001
(203) 255-7771
(203) 255-5753
Mailing address
71 BEACH RD, FAIRFIELD, CT 06824-6001
(203) 255-7771
(203) 255-5753
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/07/2007
Last updated
08/22/2020
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