Active NPIIndividual provider

Elisa B Hannan, DMD, MD

Oral & Maxillofacial Surgery in Avon, Connecticut

NPI Number1114420676
Practice location
34 Dale RD Ste 105, Avon, CT 06001-3659
Fax
—
Last updated
September 16, 2025

Elisa Battistoni Hannan is an Oral & Maxillofacial Surgery based in Avon, CT. Elisa Battistoni Hannan practices in Avon, CT and has the professional credentials of DMD, MD. The NPI Number for Elisa Battistoni Hannan is 1114420676 and holds a License No. 13976 (CT). The current practice location address for Elisa Battistoni Hannan is 34 Dale RD Ste 105, Avon, CT 06001-3659 and can be reached out via phone at 860-674-8079.

Provider Profile Details

NPI Number
1114420676
Provider Name
Elisa Battistoni Hannan
Credential
DMD, MD
Provider Entity Type
Individual
Gender
Female
Address
34 Dale RD Ste 105, Avon, CT 06001-3659
Phone Number
860-674-8079
Primary Taxonomy
Oral & Maxillofacial Surgery · 204E00000X
Sole Proprietor
No
Provider Enumeration Date
March 12, 2018
Last Update Date
September 16, 2025
Certification Date
September 16, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
34 Dale RD Ste 105
Avon, CT 06001-3659
City
Avon
Zip
06001-3659
Phone Number
860-674-8079
Avon, CT 06001Get directions →

Provider Business Mailing Address Details

Address
34 Dale RD Ste 105
Avon, CT 06001-3659
City
Avon
State
CT
Zip
06001-3659
Phone Number
860-674-8079

License Information

License Number (1)
13976
License State (1)
CT
Taxonomy (1)
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
License Number (2)
77680
License State (2)
CT
Taxonomy (2)
Oral & Maxillofacial Surgery · 204E00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Elisa B Hannan, DMD, MD?

The NPI number of Elisa B Hannan, DMD, MD is 1114420676. It was assigned on March 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Elisa B Hannan, DMD, MD?

Elisa B Hannan, DMD, MD is registered under the primary taxonomy Oral & Maxillofacial Surgery (code 204E00000X), licensed in CT under license number 13976.

Where does Elisa B Hannan, DMD, MD practice?

The practice location is 34 Dale RD Ste 105, Avon, CT 06001-3659. The office can be reached at 860-674-8079 (phone).

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 1114420676 directly on the NPPES registry website.

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