Champagne, Debra Holly

Champagne, Debra Holly is an individual health care provider with primary practice located at 428 Columbus Ave , New Haven CT 06519-1233. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Champagne, Debra Holly can be contacted via phone (203) 503-3039.

Contact Information

Primary practice address
428 Columbus Ave New Haven CT 06519-1233
Phone: (203) 503-3039
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 3936 Connecticut

Profile Details

NPI number 1790984912
LBN Legal business name Champagne, Debra Holly
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2007
Last updated Jul 17th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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