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Irene Ellison
Dental Hygienist in Bridgeport, Connecticut
NPI 1083697916

Irene Ellison is a Dental Hygienist based in Bridgeport, CT. Irene Ellison practices in Bridgeport, CT. The NPI Number for Irene Ellison is 1083697916 and holds a License No. (Connecticut).

The current practice location address for Irene Ellison is 471 Barnum Ave, Bridgeport, CT and can be reached out via phone at 203-333-6864 and via fax at 203-333-6864.

Location: 471 Barnum Ave, Bridgeport, CT, 06608-2409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083697916
Provider Name
Irene Ellison
Credential
Provider Entity Type
Individual
Gender
Female
Address
471 Barnum Ave, Bridgeport, CT, 06608-2409
Phone Number
203-333-6864
Fax Number
203-333-6864
Provider Enumeration Date
11/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001954 01 CT STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
471 Barnum Ave
City
Bridgeport
State
Connecticut
Zip
06608-2409
Phone Number
203-333-6864
Fax Number
203-333-6864
person
Provider Business Mailing Address Details
Address
471 Barnum Ave
City
Bridgeport
State
Connecticut
Zip
06608-2409
Phone Number
203-333-6864
Fax Number
203-333-6864
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dental Hygienist
Speciality
-
Taxonomy
124Q00000X
License No.
()
Definition
An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
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