Individual ProviderSamir DengleInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address56 Franklin St, Waterbury, CT 06706-1253(214) 226-3758PECOS EnrollmentBased on the most recent information from CMS, provider Samir Dengle does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1346602976Provider TypeIndividualFull NameDengle, SamirCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date3/23/2016Last Updated8/9/2019Contact InformationPractice LocationPractice Address56 Franklin St, Waterbury, CT 06706-1253Phone(214) 226-3758FaxUnlisted FaxMailing LocationMailing Address3600 Binkley Ave, Dallas, TX 75205-2136Phone(214) 226-3758FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense64031ConnecticutCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer