MEDICARE: DR. IFFAT NAZNEEN DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	009562	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538331434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. IFFAT NAZNEEN DDS

Provider Business Mailing Address
First Line	:	249 W MAIN ST STE 15
Second Line	:
City	:	BRANFORD
State	:	CT
Zip	:	06405-4048
Country	:	US
Telephone Number	:	203-691-6145
Fax Number	:	203-691-5515

Provider Business Practice Location Address
First Line	:	249 W MAIN ST STE 15
Second Line	:
City	:	BRANFORD
State	:	CT
Zip	:	06405-4048
Country	:	US
Telephone Number	:	203-691-6145
Fax Number	:	203-691-5515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2008
Last Update Date	:	03/20/2026

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