Organization
ALAN D SCHUPACK DDS LLC
Active
Other names
Alan D Schupack DDS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN DAVID SCHUPACK DDS (MANAGER)
(203) 294-4444
Entity
Organization
Contact information
Practice address
850 NO MAIN STREET EXTENSION, SUITE 2B, WALLINGFORD, CT 06492
(203) 269-4249
(203) 294-4444
Mailing address
850 NO MAIN STREET EXTENSION, SUITE 2B, WALLINGFORD, CT 06492
(203) 269-4249
(203) 294-4444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6675
CT
Other
Enumeration date
01/16/2007
Last updated
08/22/2020
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