Provider Demographics
NPI:1972920957
Name:GETZ DENTAL PARTNERS
Entity type:Organization
Organization Name:GETZ DENTAL PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:P
Authorized Official - Last Name:ASTUDILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-323-1888
Mailing Address - Street 1:1607 BEDFORD ST
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-4716
Mailing Address - Country:US
Mailing Address - Phone:203-323-1888
Mailing Address - Fax:203-325-4125
Practice Address - Street 1:1607 BEDFORD STREET
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905
Practice Address - Country:US
Practice Address - Phone:203-323-1888
Practice Address - Fax:203-325-4125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-27
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT48311223G0001X
CT48411223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty