Most Relevant Information
Provider Data
| NPI Number: | 1003246042 |
| Provider Name: | DEANNA DENNIS RDH |
| Entity Type: | Individual |
| Taxonomy Code: | 124Q00000X |
| Specialty: | Dental Hygienist |
| License Number: | 008102 |
Most Important Dates
| Enumeration Date: | 11/12/2013 |
| Last Updated: | 10/23/2014 |
Provider Practice Location
438 MAIN ST
SUITE 204
MIDDLETOWN
CT
064573397
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 |