Organization
THE DENTAL TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN G REISS D.D.S. (OWNER/ PRESIDENT)
(203) 775-1771
Entity
Organization
Contact information
Practice address
109 FEDERAL ROAD, BROOKFIELD, CT 06804
(203) 775-1771
(203) 775-1967
Mailing address
109 FEDERAL ROAD, BROOKFIELD, CT 06804
(203) 775-1771
(203) 775-1967
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
03/20/2007
Last updated
08/01/2008
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