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NPI 1255468005

IndividualActive

Jack Degrado, DDS

NPI 1255468005 · Prosthodontics · Stamford, CT

Provider details

NPI number: 1255468005
Entity type: Individual
Primary specialty: ProsthodonticsDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 008507 (CT)

Practice location

47 Oak St

2nd Floor

Stamford, CT 06905-5316

Phone: (203) 325-4700

More CT providers

Mailing address

47 Oak St

Stamford, CT 06905-5316

Registry dates

Enumerated: 2007-02-28
Last updated: 2007-07-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Jack Degrado, DDS — NPI 1255468005, Stamford, CT | NPI Central