Gretchen R. Cianciola, BSDH
Individual provider Active NPI Dental Hygienist · Middlebury, CT
NPI 1437423985 · NPPES record last updated Mar 1, 2012
Key facts
- NPI
- 1437423985
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dental Hygienist 124Q00000X
- License
- 004868 (CT)
- Practice address
- 12 Nantucket Way
Middlebury, CT 06762 - Phone
- (203) 305-3795
- NPI assigned
- Mar 1, 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 |
|---|---|---|---|
| 004868 | CT | MD | Family Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 004868 | CT | Yes |
Addresses
Primary practice location
12 Nantucket Way
Middlebury, CT 06762
Mailing address
12 Nantucket Way
Middlebury, CT 06762-3348
Other providers in Middlebury, CT
- Lindsay Carrington
- Julie Casanova
- Ashton Jamel Caskey
- Lexus Childs-Harris
- Farah L Choudhry
- Compassionate Care Counseling LLC
- Complete Care at Middlebury LLC
- Connecticut Integrated Naturopathics LLC
- Connecticut Orthopaedic Specialists, PC
- Connecticut Primary Care and Wellness PC
All providers in Middlebury, 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 Mar 1, 2012. 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.