Individual
DR. DIONYSIOS JOHN TZOUMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
245 RANGE RD, SOUTHPORT, CT 06890-1085
(475) 216-9593
Mailing address
245 RANGE RD, SOUTHPORT, CT 06890-1085
(475) 216-9593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061510
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122300000X
—
NY
Enumeration date
10/05/2021
Last updated
10/05/2021
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