Terry Cardinal, RDH
Individual provider Active NPI Dental Hygienist · Willimantic, CT
NPI 1114286176 · NPPES record last updated Oct 10, 2014
Key facts
- NPI
- 1114286176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 6894 (CT)
- Practice address
- 40 Mansfield Ave
Willimantic, CT 06226-2018 - Phone
- (860) 450-7471
- Fax
- (860) 450-9808
- NPI assigned
- May 11, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6894 | CT | MD | Dental Hygienist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 6894 | CT | Yes |
Addresses
Primary practice location
40 Mansfield Ave
Willimantic, CT 06226-2018
Mailing address
40 Mansfield Ave
Willimantic, CT 06226-2018
Phone (860) 450-7471
Other names
- Terry Landeck
Other providers in Willimantic, CT
- Taylor Burgos
- Erica K Byrd
- Miguel Caldera
- Robert Pierce Campagnone
- Jennifer L Capstick
- Melissa M Carducci Brooks
- John J Carey
- Carol Ann Carlino
- Kimberly Cash
- Jill Cassells
All providers in Willimantic, CT · Dental Hygienist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.