Tremblay, Tara Nicole

Tremblay, Tara Nicole is an individual health care provider with primary practice located at 635 Main St Attn: Credentialing Dpt, Middletown CT 06457-2718. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Tremblay, Tara Nicole can be contacted via phone (860) 347-6971.

Contact Information

Primary practice address
635 Main St Attn: Credentialing Dpt Middletown CT 06457-2718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 007427 Connecticut

Profile Details

NPI number 1528518693
LBN Legal business name Tremblay, Tara Nicole
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2016
Last updated Oct 12th, 2016 - about 9 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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