Individual
ROBERT JAMES BIRD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
60 CHURCH ST, CANAAN, CT 06018-2481
(860) 824-5101
(860) 824-9966
Mailing address
13 ROLLING HILLS DR, P.O. BOX 607, SHARON, CT 06069-2051
(860) 364-0677
(860) 364-1403
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
006455
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020006455CT01
ANTHEM BLUE BC/BS
CT
Enumeration date
07/04/2006
Last updated
02/05/2016
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