Most Relevant Information
Provider Data
| NPI Number: | 1003233149 |
| Provider Name: | TERRI DAVIS |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 0006264 |
Most Important Dates
| Enumeration Date: | 03/26/2014 |
| Last Updated: | 10/24/2014 |
Provider Practice Location
438 MAIN ST
SUITE 204
MIDDLETOWN
CT
064573396
Practice Location Phone/Fax
| Phone: | 8889646681 |
| Fax: | 8886620859 |
Provider Mailing Location
888 WORCESTER ST
SUITE 130
WELLESLEY
MA
024823744
Provider Mailing Phone/Fax
| Phone: | 6179646681 |
| Fax: | 3396862561 |