Healthcare Provider Details

I. General information

NPI: 1184877201
Provider Name (Legal Business Name): ALL ABOUT KIDS PEDIATRIC DENTISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2008
Last Update Date: 10/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 GREYROCK PL
STAMFORD CT
06901-3100
US

IV. Provider business mailing address

127 GREYROCK PL
STAMFORD CT
06901-3100
US

V. Phone/Fax

Practice location:
  • Phone: 203-323-5439
  • Fax: 203-614-8555
Mailing address:
  • Phone: 203-323-5439
  • Fax: 203-614-8555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1223D0004X
TaxonomyDental Anesthesiology
License Number007066
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number009722
License Number StateCT
# 5
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. HELENE STRAZZA
Title or Position: OWNER
Credential: DMD
Phone: 203-323-5439