State Dental is a Dental Clinic in Waterbury, Connecticut. It is located at 1336 W Main St, Suite 2b, Waterbury, CT and its contact number is 203-754-4175. The authorized person for State Dental is Dr. Mark Horowitz
who is Dentist of the clinic and their contact number is 203-754-4175. The primary license number for State Dental is 006616 (Dentist) in Connecticut. State Dental Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
State Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
State Dental
Specialization:
Dentistry
Clinic Address:
1336 W Main St, Suite 2b, Waterbury, Connecticut, 06708-3122
Phone:
203-754-4175
Fax:
203-596-1917
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Mark Horowitz
Position:
Dentist
Contact Number:
203-754-4175
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for State Dental clinic are as mentioned below.
NPI Number:
1619390853
NPI Enumeration Date:
23 Jan, 2014
NPI Last Update On:
23 Jan, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for State Dental are as mentioned below.
Specialization
License Number
State
Status
Dentist
006616
Connecticut
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
004116704
Medicaid
Connecticut
002066167
Medicaid
Connecticut
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
State Dental 1336 W Main St, Suite 2b Waterbury, Connecticut
Zip:
06708-3122
Phone Number:
203-754-4175
Fax Number:
203-596-1917
Patients can reach State Dental at 1336 W Main St, Suite 2b, Waterbury, Connecticut or can call to book an appointment on 203-754-4175. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.