Bacopoulou, Constantina

Bacopoulou, Constantina is an sole proprietor health care provider with primary practice located at 141 Franklin St , Stamford CT 06901-1014. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is her primary health care specialty. Bacopoulou, Constantina can be contacted via phone (203) 969-0802.

Contact Information

Primary practice address
141 Franklin St Stamford CT 06901-1014
Phone: (203) 969-0802
Fax: (203) 357-0162
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 010413 Connecticut
Dental Providers / Dentist 122300000X 054899 New York

Profile Details

NPI number 1457549610
LBN Legal business name Bacopoulou, Constantina
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 11th, 2007
Last updated Feb 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457549610 NPPES
Connecticut MEDICAID 004236354

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