Provider Demographics
NPI:1972390482
Name:DWORKIN AND DWORKIN LLC
Entity type:Organization
Organization Name:DWORKIN AND DWORKIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAY
Authorized Official - Middle Name:L
Authorized Official - Last Name:DWORKIN
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-514-2700
Mailing Address - Street 1:321 BOSTON POST RD STE 12
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-2574
Mailing Address - Country:US
Mailing Address - Phone:203-514-2700
Mailing Address - Fax:
Practice Address - Street 1:321 BOSTON POST RD STE 12
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-2574
Practice Address - Country:US
Practice Address - Phone:203-514-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty