Ellen Eisenberg, DMD
Dentist, Oral and Maxillofacial Pathology in Farmington, Connecticut
1013913367- Practice location
- 263 Farmington Ave, Farmington, CT 06030-0001
- Phone
- 860-679-2952
- Fax
- 860-679-4760
- Last updated
- September 28, 2022
Ellen Eisenberg is a Dentist, Oral and Maxillofacial Pathology based in Farmington, CT. Ellen Eisenberg practices in Farmington, CT and has the professional credentials of DMD. The NPI Number for Ellen Eisenberg is 1013913367 and holds a License No. 005451 (CT). The current practice location address for Ellen Eisenberg is 263 Farmington Ave, Farmington, CT 06030-0001 and can be reached out via phone at 860-679-2952 and via fax at 860-679-4760.
Provider Profile Details
- NPI Number
- 1013913367
- Provider Name
- Ellen Eisenberg
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 263 Farmington Ave, Farmington, CT 06030-0001
- Phone Number
- 860-679-2952
- Fax Number
- 860-679-4760
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Pathology · 1223P0106X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 22, 2005
- Last Update Date
- September 28, 2022
- Certification Date
- May 10, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 263 Farmington Ave
Farmington, CT 06030-0001 - City
- Farmington
- State
- Connecticut
- Zip
- 06030-0001
- Phone Number
- 860-679-2952
- Fax Number
- 860-679-4760
Provider Business Mailing Address Details
- Address
- 263 Farmington Ave
Provider Enrollment
Farmington, CT 06030-2212 - City
- Farmington
- State
- CT
- Zip
- 06030-2212
- Phone Number
- 860-679-7503
- Fax Number
- 860-679-1610
License Information
- License Number (1)
- 005451
- License State (1)
- CT
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 005451
- License State (2)
- CT
- Taxonomy (2)
- Dentist, Oral and Maxillofacial Pathology · 1223P0106X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Pathology providers near Farmington, CT
View all Dentist, Oral and Maxillofacial Pathology providers in Farmington →- Jenna Ward, DMDDentist, Oral and Maxillofacial Pathology · NPI 1649678970
- Dr. Shari Jarrett, MDEmergency Medicine · NPI 1669933628
- University Of Connecticut Health CenterClinical Medical Laboratory · NPI 1427031293
- Marian A Javier Saldana, MDStudent in an Organized Health Care Education/Training Program · NPI 1720915986
- Enxhi FerrajPhysician Assistant, Surgical · NPI 1942041033
- Slow And Steady Counseling & WellnessSocial Worker, Clinical · NPI 1801719463
Frequently Asked Questions
What is the NPI number of Ellen Eisenberg, DMD?
The NPI number of Ellen Eisenberg, DMD is 1013913367. It was assigned on June 22, 2005 and is currently active in the NPPES registry.
What is the specialty of Ellen Eisenberg, DMD?
Ellen Eisenberg, DMD is registered under the primary taxonomy Dentist, Oral and Maxillofacial Pathology (code 1223P0106X), licensed in CT under license number 005451.
Where does Ellen Eisenberg, DMD practice?
The practice location is 263 Farmington Ave, Farmington, CT 06030-0001. The office can be reached at 860-679-2952 (phone) or 860-679-4760 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013913367 directly on the NPPES registry website.