SHARON K SONG DMD
Dentist


Address: 177 Carroll Rd, Fairfield, CT 06824

SHARON K SONG DMD (Credential# 704311) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is April 1, 2020. The license expiration date date is March 31, 2021. The license status is ACTIVE.

Business Overview

SHARON K SONG DMD is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.009859. The credential type is dentist. The effective date is April 1, 2020. The expiration date is March 31, 2021. The business address is 177 Carroll Rd, Fairfield, CT 06824. The current status is active.

Basic Information

Licensee Name SHARON K SONG DMD
Credential ID 704311
Credential Number 2.009859
Credential Type Dentist
Business Address 177 Carroll Rd
Fairfield
CT 06824
Business Type INDIVIDUAL
Status ACTIVE - CURRENT
Active 1
Issue Date 2008-04-15
Effective Date 2020-04-01
Expiration Date 2021-03-31
Refresh Date 2020-03-25

Other licenses

ID Credential Code Credential Type Issue Term Status
506102 CSP.0043684 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2008-06-20 2019-03-01 - 2021-02-28 ACTIVE

Office Location

Street Address 177 Carroll Rd
City Fairfield
State CT
Zip Code 06824

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Amy S Van Buren 11 Larkspur Road, Fairfield, CT 06824 Massage Therapist 2020-08-01 ~ 2022-07-31
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Robert D Sickeler 175 Wakeman Rd, Fairfield, CT 06824 Architect 2020-08-01 ~ 2021-07-31
Michael P Brennan 338 Sturges Rd, Fairfield, CT 06824 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
Maria A Arduini 499 Hemlock Rd, Fairfield, CT 06824 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
Ryan L Antisdale 104 Rhoda Avenue, Fairfield, CT 06824 Real Estate Salesperson 2020-06-23 ~ 2021-05-31
Szymlinska Eva Jucelin 105 Churchill Street, Fairfield, CT 06824 Licensed Practical Nurse 2020-07-01 ~ 2021-06-30
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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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