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Contact Information

CT OROFACIAL MYOLOGY, LLC
384 MIXVILLE RD
CHESHIRE, CT06410-1968
 Phone: 203-217-7090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Hygienist

124Q00000X
 

Advanced Practice Dental Therapist

125K00000X
Indicates primary specialty

NPI Profile & details for CT OROFACIAL MYOLOGY LLC · (Female)

NPI # 1790398428
Status Active
Credentials
Entity Individual
Enumeration date 08/24/2020
Last updated 09/02/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
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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