Melissa Baker Chalker

Individual provider Active NPI Dental Hygienist · Hartford, CT

NPI 1407564461 · NPPES record last updated Nov 9, 2022

Key facts

NPI
1407564461
Entity type
Individual (NPI type 1)
Primary specialty
Dental Hygienist 124Q00000X
License
006700 (CT)
Practice address
330 Wethersfield Ave
Hartford, CT 06114-1409
Phone
(860) 695-8000
NPI assigned
Nov 9, 2022
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

LicenseStateTypeSpecialty
006700CTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 006700 CT Yes

Addresses

Primary practice location

330 Wethersfield Ave
Hartford, CT 06114-1409

Mailing address

518 Nova Scotia Hill Rd
Watertown, CT 06795-1624
Phone (203) 509-9187

Other providers in Hartford, CT

All providers in Hartford, CT · Dental Hygienist in Connecticut

Sources for this page

Verify at the official NPI Registry.