Healthcare Provider Details

I. General information

NPI: 1225241250
Provider Name (Legal Business Name): THE HARMONY DENTAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 12/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

161 EAST AVE 201
NORWALK CT
06851-5710
US

IV. Provider business mailing address

161 EAST AVE 201
NORWALK CT
06851-5710
US

V. Phone/Fax

Practice location:
  • Phone: 203-354-3193
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. DANIEL FABER
Title or Position: MEMBER
Credential: D.M.D
Phone: 203-354-3193