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Christian Tiffany Brockenberry, DMD
General Practice Dentistry in New Haven, Connecticut
NPI 1730407115

Christian Tiffany Brockenberry is a General Practice Dentistry based in New Haven, CT and is specialized in General Practice. Christian Tiffany Brockenberry practices in New Haven, CT and has the professional credentials of DMD. The NPI Number for Christian Tiffany Brockenberry is 1730407115 and holds a License No. 10610 (Connecticut).

The current practice location address for Christian Tiffany Brockenberry is 428 Columbus Ave, New Haven, CT and can be reached out via phone at 203-503-3040 and via fax at 203-503-3187.

Location: 428 Columbus Ave, New Haven, CT, 06519-1233
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730407115
Provider Name
Christian Tiffany Brockenberry
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
428 Columbus Ave, New Haven, CT, 06519-1233
Phone Number
203-503-3040
Fax Number
203-503-3187
Provider Enumeration Date
05/11/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
008036565 05 CT
0051536 01 CT CSR
institution
Provider Business Practice Location Address Details
Address
428 Columbus Ave
City
New Haven
State
Connecticut
Zip
06519-1233
Phone Number
203-503-3040
Fax Number
203-503-3187
person
Provider Business Mailing Address Details
Address
428 Columbus Ave
City
New Haven
State
Connecticut
Zip
06519-1233
Phone Number
203-503-3040
Fax Number
203-503-3187
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
10610 (Connecticut)
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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