OrganizationActive
Revitalizing Smiles, LLC
NPI 1588058077 · Prosthodontics · Fairfield, CT
Provider details
- NPI number
- 1588058077
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Judith Horblitt, Manager(203) 332-9049
- License
- 11048 (CT)
Specialties & taxonomies
Dental Providers
Practice location
2226 Black Rock Tpke
Fairfield, CT 06825-3240
Phone: (203) 332-9049
Fax: (203) 366-6287
Approximate (ZIP-level) locationGet directions
Mailing address
2226 Black Rock Tpke
Fairfield, CT 06825-3240
Registry dates
- Enumerated
- 2015-03-24
- Last updated
- 2015-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.