Gwendolyn Basilica, RDH
Dental Hygienist in New London, Connecticut
1588652697- Practice location
- 1 Shaws Cv, New London, CT 06320-4902
- Phone
- 860-444-0498
- Fax
- —
- Last updated
- July 8, 2007
Gwendolyn Basilica is a Dental Hygienist based in New London, CT. Gwendolyn Basilica practices in New London, CT and has the professional credentials of RDH. The NPI Number for Gwendolyn Basilica is 1588652697 and holds a License No. 002820 (CT). The current practice location address for Gwendolyn Basilica is 1 Shaws Cv, New London, CT 06320-4902 and can be reached out via phone at 860-444-0498.
Provider Profile Details
- NPI Number
- 1588652697
- Provider Name
- Gwendolyn Basilica
- Credential
- RDH
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1 Shaws Cv, New London, CT 06320-4902
- Phone Number
- 860-444-0498
- Primary Taxonomy
- Dental Hygienist · 124Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 12, 2005
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Shaws Cv
New London, CT 06320-4902 - City
- New London
- State
- Connecticut
- Zip
- 06320-4902
- Phone Number
- 860-444-0498
Provider Business Mailing Address Details
- Address
- 54 Gardner Ave
New London, CT 06320-4313 - City
- New London
- State
- CT
- Zip
- 06320-4313
License Information
- License Number
- 002820
- 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 Gwendolyn Basilica, RDH?
The NPI number of Gwendolyn Basilica, RDH is 1588652697. It was assigned on October 12, 2005 and is currently active in the NPPES registry.
What is the specialty of Gwendolyn Basilica, RDH?
Gwendolyn Basilica, RDH is registered under the primary taxonomy Dental Hygienist (code 124Q00000X), licensed in CT under license number 002820.
Where does Gwendolyn Basilica, RDH practice?
The practice location is 1 Shaws Cv, New London, CT 06320-4902. The office can be reached at 860-444-0498 (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 1588652697 directly on the NPPES registry website.