Healthcare Provider Details

I. General information

NPI: 1205837481
Provider Name (Legal Business Name): STEVEN ALAN SPRINGER D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 OLD NEW MILFORD RD 1-A
BROOKFIELD CT
06804-2426
US

IV. Provider business mailing address

2 OLD NEW MILFORD RD 1-A
BROOKFIELD CT
06804-2426
US

V. Phone/Fax

Practice location:
  • Phone: 203-740-7472
  • Fax: 203-775-1863
Mailing address:
  • Phone: 203-740-7472
  • Fax: 203-775-1863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number6849
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: