Organization
FIRST IMPRESSIONS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY PAUNDLAY (PRACTICE ADMINISTRATOR)
(203) 292-9594
Entity
Organization
Contact information
Practice address
1476 POST RD, FAIRFIELD, CT 06824-5937
(203) 292-9594
(203) 292-9596
Mailing address
1476 POST RD, FAIRFIELD, CT 06824-5937
(203) 292-9594
(203) 292-9596
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
009425
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1568692663
NPI
CT
01
—
1881084002
NPI
CT
Enumeration date
02/13/2015
Last updated
02/13/2015
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