Healthcare Provider Details

I. General information

NPI: 1730251505
Provider Name (Legal Business Name): SZY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

195 MAIN ST DAVID J SZYMANSKI DDS
TERRYVILLE CT
06786
US

IV. Provider business mailing address

195 MAIN ST DAVID J SZYMANSKI DDS
TERRYVILLE CT
06786-6219
US

V. Phone/Fax

Practice location:
  • Phone: 860-584-2051
  • Fax:
Mailing address:
  • Phone: 860-584-2051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number3850
License Number StateCT

VIII. Authorized Official

Name: DR. DAVID JULIUS SZYMANSKI
Title or Position: PRES SZY INC
Credential: DDS
Phone: 860-584-2051