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NPI Code Detail

MEDICARE: DR. DENNIS TEEKING D.M.D.

MEDICARE: DR. DENNIS TEEKING D.M.D.
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 Dentistry7808CT

General Provider Information

NPI Number : 1558426478
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DENNIS TEEKING D.M.D.
Provider Business Mailing Address
First Line : 184 MOUNT PLEASANT RD
Second Line :
City : NEWTOWN
State : CT
Zip : 06470-1408
Country : US
Telephone Number : 203-426-0500
Fax Number : 203-426-0697
Provider Business Practice Location Address
First Line : 184 MOUNT PLEASANT RD
Second Line :
City : NEWTOWN
State : CT
Zip : 06470-1408
Country : US
Telephone Number : 203-426-0500
Fax Number : 203-426-0697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2006
Last Update Date : 07/08/2007

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