PHYL TROSS DDS
Dentist


Address: 132 Pratt St, Fairfield, CT 06824-6484

PHYL TROSS DDS (Credential# 702333) is licensed (Dentist) with Connecticut Department of Consumer Protection. The license effective date is May 1, 2016. The license expiration date date is April 30, 2017. The license status is INACTIVE.

Business Overview

PHYL TROSS DDS is licensed with the Department of Consumer Protection of Connecticut. The credential number is #2.007861. The credential type is dentist. The effective date is May 1, 2016. The expiration date is April 30, 2017. The business address is 132 Pratt St, Fairfield, CT 06824-6484. The current status is inactive.

Basic Information

Licensee Name PHYL TROSS DDS
Credential ID 702333
Credential Number 2.007861
Credential Type Dentist
Business Address 132 Pratt St
Fairfield
CT 06824-6484
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 1992-11-06
Effective Date 2016-05-01
Expiration Date 2017-04-30
Refresh Date 2017-08-03

Other licenses

ID Credential Code Credential Type Issue Term Status
1264601 CSP.0059299 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2015-03-05 2015-03-05 - 2017-02-28 INACTIVE
157526 CSP.0020616 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 2013-03-01 - 2015-02-28 INACTIVE
667493 11.023557 Licensed Practical Nurse 1990-06-01 2010-05-01 - 2011-04-30 INACTIVE
163268 CSP.0023889 CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER 1997-03-01 - 1998-02-28 INACTIVE

Office Location

Street Address 132 PRATT ST
City FAIRFIELD
State CT
Zip Code 06824-6484

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Competitor

Search similar business entities

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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