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DR. THEODORE WALTER ZDEBLICK DDS
NPI 1336256536
Dentist - General Practice in Southington, CT

Active since August 24, 2006PECOS Enrolled
51 N MAIN ST, SUITE 2E, SOUTHINGTON, CT 06489(860) 276-9565(860) 276-9440 Get Directions Write a Review

NPPES record last updated: April 25, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Theodore Walter Zdeblick Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THEODORE WALTER ZDEBLICK DDS (NPI 1336256536) is an individual general practice provider in Southington, Connecticut, licensed in Connecticut (6470) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336256536
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THEODORE WALTER ZDEBLICKCredential: DDS
Location Address51 N MAIN ST, SUITE 2ESouthington, CT 06489
Mailing Address51 N Main St, Suite 2eSouthington, CT 06489 · (860) 276-9565 · Fax (860) 276-9440
Phone(860) 276-9565
Fax(860) 276-9440
Sole ProprietorNo
Enumeration DateAugust 24, 2006
Last NPPES UpdateApril 25, 2013
✔ NPI 1336256536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CT · 6470
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
51 N MAIN ST, Southington, CT 06489
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theodore Walter Zdeblick Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06489 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

J P AUGUSTINE NOONAN MD PC
Psychiatry & Neurology (Psychiatry)
51 N MAIN ST, 2C
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 628-6281
MS. JOAN D. CAHILL LCSW
Social Worker (Clinical)
51 N MAIN ST, STE. 2 D
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 628-3963
AGUILAR SALERNO & ASSOCIATES
Clinic/Center (Mental Health (Including Community Mental Health Center))
51 N MAIN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (203) 560-9424
DR. JACK ALKON D.M.D.
Dentist (General Practice)
51 N MAIN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-6321
SANDRA J WHITE
Social Worker (Clinical)
51 N MAIN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (203) 379-7254
RICHARD ZELISKO LCSW, LMFT
Social Worker (Clinical)
51 N MAIN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (203) 988-8842
ROBERT S THORSEN MD LLC
Psychiatry & Neurology (Neurology)
51 N MAIN ST, SUITE 3C
SOUTHINGTON, CT 06489
Capitol Planning Region (860) 621-1896
SARAH ALSTON LLC
Social Worker (Clinical)
51 N MAIN ST
SOUTHINGTON, CT 06489
Capitol Planning Region (203) 560-9424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theodore Zdeblick's NPI number?

The NPI number for Theodore Zdeblick is 1336256536. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Where is Theodore Zdeblick located?

Theodore Zdeblick practices at 51 N Main St Suite 2E, Southington, CT 06489. The listed phone number is (860) 276-9565.

What is Theodore Zdeblick's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Theodore Zdeblick enrolled in Medicare?

Yes. Theodore Zdeblick is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Theodore Zdeblick was last updated on April 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.