NPI 1083697916

Irene Ellison

Practitioner Dental Hygienist Bridgeport, CT

Practice location

Address: 471 Barnum Ave, Bridgeport, CT 06608-2409
Phone: (203) 333-6864
Fax: (203) 333-6864

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X

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Registry record

NPI: 1083697916
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Nov 2005
Record last updated: 13 Jul 2026

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.