Laurel Risom, RDH, MPH
Dental Hygienist in Waterbury, Connecticut
1467113860- Practice location
- 80 Phoenix Ave Ste 201, Waterbury, CT 06702-1418
- Phone
- 203-805-4921
- Fax
- —
- Last updated
- January 7, 2022
Laurel Risom is a Dental Hygienist based in Waterbury, CT. Laurel Risom practices in Waterbury, CT and has the professional credentials of RDH, MPH. The NPI Number for Laurel Risom is 1467113860 and holds a License No. 002961 (CT). The current practice location address for Laurel Risom is 80 Phoenix Ave Ste 201, Waterbury, CT 06702-1418 and can be reached out via phone at 203-805-4921.
Provider Profile Details
- NPI Number
- 1467113860
- Provider Name
- Laurel Risom
- Credential
- RDH, MPH
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 80 Phoenix Ave Ste 201, Waterbury, CT 06702-1418
- Phone Number
- 203-805-4921
- Primary Taxonomy
- Dental Hygienist · 124Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 7, 2022
- Last Update Date
- January 7, 2022
- Certification Date
- January 7, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 80 Phoenix Ave Ste 201
Waterbury, CT 06702-1418 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1418
- Phone Number
- 203-805-4921
Provider Business Mailing Address Details
- Address
- 80 Phoenix Ave Ste 201
Waterbury, CT 06702-1418 - City
- Waterbury
- State
- CT
- Zip
- 06702-1418
License Information
- License Number
- 002961
- License State
- CT
- Taxonomy
- Dental Hygienist · 124Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Laurel Risom, RDH, MPH?
The NPI number of Laurel Risom, RDH, MPH is 1467113860. It was assigned on January 7, 2022 and is currently active in the NPPES registry.
What is the specialty of Laurel Risom, RDH, MPH?
Laurel Risom, RDH, MPH is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in CT under license number 002961.
Where does Laurel Risom, RDH, MPH practice?
The practice location is 80 Phoenix Ave Ste 201, Waterbury, CT 06702-1418. The office can be reached at 203-805-4921 (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 1467113860 directly on the NPPES registry website.