Individual
STEPHEN JAMES GREENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
150 S TURNPIKE RD, WALLINGFORD, CT 06492-4320
(203) 265-6789
Mailing address
150 S TURNPIKE RD, WALLINGFORD, CT 06492-4320
(203) 641-1020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
13518
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13518
DENTAL LICENSE NUMBER
CT
Enumeration date
07/19/2022
Last updated
08/02/2022
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