NPI 1003123605

Alesia Nicola Burge, DMD

Practitioner General Practice Dentistry Hamden, CT

Practice location

Address: 2100 Dixwell Ave Suite 64, Hamden, CT 06514-2406
Phone: (203) 288-3000
Fax: (203) 288-3004

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 10304 (CT)

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Registry record

NPI: 1003123605
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Sep 2010
Record last updated: 25 Oct 2012

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.