NPI 1518236975

Tracy M Gratton, RDH

Practitioner Dental Hygienist Willimantic, CT

Practice location

Address: 1315 Main St, Willimantic, CT 06226-1948
Phone: (860) 450-7471
Fax: (860) 450-7396

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 7562 (CT)

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Registry record

NPI: 1518236975
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2011
Record last updated: 14 Dec 2011

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.