Healthcare Provider Details
I. General information
NPI: 1023419587
Provider Name (Legal Business Name): PARVEZ BAIG DMD P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/15/2014
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3074 WHITNEY AVE STE 1-2
HAMDEN CT
06518-2324
US
IV. Provider business mailing address
3074 WHITNEY AVE STE 1-2
HAMDEN CT
06518-2324
US
V. Phone/Fax
- Phone: 203-562-0234
- Fax: 203-865-2556
- Phone: 339-203-5331
- Fax: 203-865-2556
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 010389 |
| License Number State | CT |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 122300000X |
| Taxonomy | Dentist |
| License Number | 10977 |
| License Number State | CT |
VIII. Authorized Official
Name: DR.
PARVEZ
BAIG
Title or Position: OWNER / DENTIST
Credential:
Phone: 339-203-5331