Dombrowski, Tina
Dombrowski, Tina is an individual health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Dombrowski, Tina can be contacted via phone (508) 852-1805.Contact Information
Primary practice address
19 Tacoma St
Worcester MA 01605-3516
Phone: (508) 852-1805
Fax: (508) 595-1159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 11656 | Massachusetts |
| Dental Providers / Dental Hygienist | 124Q00000X | DH11656 | Massachusetts |
Profile Details
| NPI number | 1114072022 |
|---|---|
| LBN Legal business name | Dombrowski, Tina |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Dec 21st, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114072022 | NPPES |
| Massachusetts | MEDICAID | 1301071 |
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