Healthcare Provider Details
I. General information
NPI: 1740101450
Provider Name (Legal Business Name): SLEEP APNEA CENTER OF CONNECTICUT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1209 S BROAD ST
WALLINGFORD CT
06492-1714
US
IV. Provider business mailing address
501 KINGS HWY E STE 200
FAIRFIELD CT
06825-4870
US
V. Phone/Fax
- Phone: 203-202-2764
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHAEL
J
MURRAY
Title or Position: OWNER/DENTIST
Credential: DDS
Phone: 203-202-2764