Healthcare Provider Details

I. General information

NPI: 1649614645
Provider Name (Legal Business Name): JOSHUA QUINBY DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2013
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

132 STATE ROUTE 37 STE B
NEW FAIRFIELD CT
06812-4053
US

IV. Provider business mailing address

132 STATE ROUTE 37 STE B
NEW FAIRFIELD CT
06812-4053
US

V. Phone/Fax

Practice location:
  • Phone: 203-746-5707
  • Fax:
Mailing address:
  • Phone: 203-746-5707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number11141
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number11141
License Number StateCT
# 3
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number11141
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: