Michelle Abate
Individual provider Active NPI General Practice Dentistry · East Hartford, CT
NPI 1417512971 · NPPES record last updated Oct 2, 2020
Key facts
- NPI
- 1417512971
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 12701 (CT)
- Practice address
- 170 Main St
East Hartford, CT 06118-3234 - Phone
- (860) 568-3366
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| 12701 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruby Family Dentistry | General Practice | Current | Accepting new patients |
| DRS. Wernick & Dym, P.C. | General Practice | Current |
Accepting new patients |
Locations
170 Main St
East Hartford, CT 06118
Phone (860) 288-5786
Interoperability endpoints
- michelle.abate@xdr.hhchealthdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 12701 | CT | Yes |
Addresses
Primary practice location
170 Main St
East Hartford, CT 06118-3234
Mailing address
1660 Farmington Ave
Unionville, CT 06085-1271
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All providers in East Hartford, CT · General Practice Dentistry 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 2, 2020. 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.