Organization
TEE-PEE DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E POWE DDS (PRESIDENT)
(347) 909-2101
Entity
Organization
Contact information
Practice address
468 CLINTON AVE, BRIDGEPORT, CT 06605-1713
(203) 337-6266
(203) 337-6261
Mailing address
468 CLINTON AVE, BRIDGEPORT, CT 06605-1713
(203) 337-6266
(203) 337-6261
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
10779
CT
1223G0001X
General Practice Dentistry
Primary
010779
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008041327
—
CT
01
—
010779
STATE LICENSE
CT
Enumeration date
07/01/2016
Last updated
07/11/2016
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