IndividualActive
Ellen Eisenberg, DMD
NPI 1013913367 · Oral and Maxillofacial Pathology Dentistry · Farmington, CT
Provider details
- NPI number
- 1013913367
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Pathology DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- 005451 (CT)
Practice location
263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-2952
Fax: (860) 679-4760
Mailing address
263 Farmington Ave
Farmington, CT 06030-2212
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.