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Dr. Eben Light
General Practice Dentistry in Cromwell, Connecticut
NPI 1770961344

Eben Light is a General Practice Dentistry based in New Haven, CT and is specialized in General Practice. Eben Light practices in Cromwell, CT. The NPI Number for Eben Light is 1770961344 and holds a License No. (Connecticut).

The current practice location address for Eben Light is 75 Berlin Rd, Cromwell, CT and can be reached out via phone at 860-635-1515.

Location: 75 Berlin Rd, Cromwell, CT, 06515-2630
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770961344
Provider Name
Eben Light
Credential
Provider Entity Type
Individual
Gender
Male
Address
75 Berlin Rd, Cromwell, CT, 06515-2630
Phone Number
860-635-1515
Fax Number
Provider Enumeration Date
05/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
75 Berlin Rd
City
Cromwell
State
Connecticut
Zip
06416-2633
Phone Number
860-635-1515
Fax Number
person
Provider Business Mailing Address Details
Address
75 Berlin Rd
City
Cromwell
State
Connecticut
Zip
06416-2633
Phone Number
860-635-1515
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11695 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Connecticut)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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