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NPI Code Detail

MEDICARE: WESTPORT DENTAL ASSOCIATES, P.C.

MEDICARE: WESTPORT DENTAL ASSOCIATES, P.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5142CT
21223G0001XGeneral Practice Dentistry7811CT
31223P0700XProsthodontics3616CT

General Provider Information

NPI Number : 1275580870
Entity Type Code : Organization
Provider Name (Legal Business Name) : WESTPORT DENTAL ASSOCIATES, P.C.
Provider Business Mailing Address
First Line : 22 IMPERIAL AVE
Second Line :
City : WESTPORT
State : CT
Zip : 06880-4301
Country : US
Telephone Number : 203-227-3709
Fax Number : 203-226-5604
Provider Business Practice Location Address
First Line : 22 IMPERIAL AVE
Second Line :
City : WESTPORT
State : CT
Zip : 06880-4301
Country : US
Telephone Number : 203-227-3709
Fax Number : 203-226-5604
Authorized Official
Title or Position : PRESIDENT
Name : DR. BRIAN S DUCHAN
Credential : DMD
Telephone Number : 203-227-3709
Provider Enumeration Date : 05/28/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

1750501615 — DR. STEVEN L SCHER D.D.S
Practice Location Address:
24 IMPERIAL AVE
WESTPORT, CT
06880-4301
Practice Phone: 203-227-6061
Practice Fax: 203-226-6771
1740396837 — DR. JEREMIAH JOSEPH KEEFE III DMD
Practice Location Address:
20 IMPERIAL AVE
WESTPORT, CT
06880-4301
Practice Phone: 203-226-9244
Practice Fax:
1134273451 — DR. ADAM J FREEMAN DDS
Practice Location Address:
22 IMPERIAL AVE
WESTPORT, CT
06880-4301
Practice Phone: 203-227-3709
Practice Fax: 203-226-5604
1821142134 — DR. BRIAN S DUCHAN DMD
Practice Location Address:
22 IMPERIAL AVE
WESTPORT, CT
06880-4301
Practice Phone: 203-227-3709
Practice Fax: 203-226-5604
1801940150 — DR. STANLEY P FREEMAN DDS
Practice Location Address:
22 IMPERIAL AVE
WESTPORT, CT
06880-4301
Practice Phone: 203-227-3709
Practice Fax: 203-226-5604
1699800722 — DR. DAVID MICHAEL SOCHACKI DDS
Practice Location Address:
18 IMPERIAL AVENUE
WESTPORT, CT
06880-4301
Practice Phone: 203-226-3811
Practice Fax:

Directions to “WESTPORT DENTAL ASSOCIATES, P.C. ” Practice Location

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