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Contact Information

MARLENE MOORE, RDH
675 MAIN STREET
MIDDLETOWN, CT06457
 Phone: 860-347-6971
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for MARLENE MOORE · (Female)

NPI # 1346774791
Status Active
Credentials RDH (Registered Dental Hygienist)
Entity Individual
Enumeration date 04/12/2017
Last updated 04/12/2017 - About 9 years ago
Sole proprietor 1 Yes
Identifiers
  • CT License # 6192
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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