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Desiree Nicole Outlaw, DDS
Dentist in East Hartford, Connecticut
NPI 1538644471

Desiree Nicole Outlaw is a Dentist based in Bloomfield, CT. Desiree Nicole Outlaw practices in East Hartford, CT and has the professional credentials of DDS. The NPI Number for Desiree Nicole Outlaw is 1538644471 and holds a License No. 060129 (Connecticut).

The current practice location address for Desiree Nicole Outlaw is 94 Connecticut Blvd, East Hartford, CT and can be reached out via phone at 860-610-6348.

Location: 94 Connecticut Blvd, East Hartford, CT, 06002-5407
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538644471
Provider Name
Desiree Nicole Outlaw
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
94 Connecticut Blvd, East Hartford, CT, 06002-5407
Phone Number
860-610-6348
Fax Number
Provider Enumeration Date
09/26/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
12817 01 CT DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
94 Connecticut Blvd
City
East Hartford
State
Connecticut
Zip
06108-3013
Phone Number
860-610-6348
Fax Number
person
Provider Business Mailing Address Details
Address
94 Connecticut Blvd
City
East Hartford
State
Connecticut
Zip
06108-3013
Phone Number
860-610-6348
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
-
Taxonomy
122300000X
License No.
12817 (Connecticut)
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
060129 (New York)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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