Healthcare Provider Details

I. General information

NPI: 1891628020
Provider Name (Legal Business Name): PABLO J CUEVAS III, DDS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/06/2026
Certification Date: 06/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 BEACH RD
FAIRFIELD CT
06824-6668
US

IV. Provider business mailing address

111 BEACH RD
FAIRFIELD CT
06824-6668
US

V. Phone/Fax

Practice location:
  • Phone: 203-254-0545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PABLO CUEVAS
Title or Position: DENTIST
Credential: DDS
Phone: 203-254-0545