Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK D DEGRADO, DDS
Active Sole ProprietorDR. JACK D DEGRADO, DDS is a Pediatric Dentistry healthcare provider located in STAMFORD, Connecticut. NPI 1255468005 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · STAMFORD, CT
Registration Details
- NPI Number
- 1255468005
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 28, 2007 (19.474131867885 yrs)
- Last Updated
- Jul 8, 2007
- License
-
008507 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
47 OAK ST2ND FLOORSTAMFORD, CT, 069055316Browse CT providers · Browse ZIP 06905
- Phone
- 2033254700
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in STAMFORD, CT
| Name | Credential | NPI |
|---|---|---|
| DR. KHANITHA TANGNAVARAD | DDS | 1407926041 |
| DR. GUILLERMO ZAPATA | D.D.S | 1477751758 |
| DR. DAVID REMISZEWSKI | DMD, MDSC, FACP | 1902332265 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.