SPRETHA KADAVATH
Dentist


Address: 578 Westport Tpke, Fairfield, CT 06824-1670

SPRETHA KADAVATH (Credential# 1359223) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is June 1, 2020. The license expiration date date is May 31, 2021. The license status is ACTIVE.

Business Overview

SPRETHA KADAVATH is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.011700. The credential type is dentist. The effective date is June 1, 2020. The expiration date is May 31, 2021. The business address is 578 Westport Tpke, Fairfield, CT 06824-1670. The current status is active.

Basic Information

Licensee Name SPRETHA KADAVATH
Credential ID 1359223
Credential Number 2.011700
Credential Type Dentist
Business Address 578 Westport Tpke
Fairfield
CT 06824-1670
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2016-08-03
Effective Date 2020-06-01
Expiration Date 2021-05-31
Refresh Date 2020-06-02

Other licenses

ID Credential Code Credential Type Issue Term Status
1382326 CSP.0064148 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2016-10-04 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 578 WESTPORT TPKE
City FAIRFIELD
State CT
Zip Code 06824-1670

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Competitor

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City FAIRFIELD
Zip Code 06824
License Type Dentist
License Type + County Dentist + FAIRFIELD

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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