NPI 1083506877

Priyanka Prasad

Practitioner Dentist Waterbury, CT

Practice location

Address: 447 Meriden Rd, Waterbury, CT 06705-2244
Phone: (203) 753-9503
Mailing address: 360 State St APT 1717, New Haven, CT 06510-3615

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 14474 (CT)

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Registry record

NPI: 1083506877
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Jul 2025
Record last updated: 16 Jul 2025

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.