Katerina Ashland, D.M.D.
Individual provider Active NPI Dentist · Vernon, CT
NPI 1376825893 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1376825893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 0442000138 (VA)
- Practice address
- 44 Hyde Ave
Vernon, CT 06066-4503 - Phone
- (860) 875-5050
- Fax
- (860) 454-0190
- NPI assigned
- Sep 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 0442000138 | VA | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 0442000138 | VA | Yes |
Addresses
Primary practice location
44 Hyde Ave
Vernon, CT 06066-4503
Mailing address
44 Hyde Ave
Vernon, CT 06066-4503
Phone (860) 875-5050
Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. 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.