NPI 1487099172

Dynobite Smiles LLC

Organisation Dental Clinic/Center Middlebury, CT

Practice location

Address: 765 Straits Tpke, Middlebury, CT 06762-2853
Phone: (203) 577-3500
Fax: (203) 577-3600

Authorised official

Name: Raven Vanessa Henderson
Title: Owner/Dentist
Phone: (203) 577-3500

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X Licence 009463 (CT)

Other Clinic/Center providers in Connecticut →

Registry record

NPI: 1487099172
Entity type: Organization
NPI issued: 8 May 2013
Record last updated: 8 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.