Healthcare Provider Details

I. General information

NPI: 1164335220
Provider Name (Legal Business Name): ZEN DENTAL OF ENFILED, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 PALOMBA DR STE 9
ENFIELD CT
06082-3850
US

IV. Provider business mailing address

64 PALOMBA DR STE 9
ENFIELD CT
06082-3850
US

V. Phone/Fax

Practice location:
  • Phone: 860-745-2712
  • Fax: 860-741-3109
Mailing address:
  • Phone: 860-745-2712
  • Fax: 860-741-3109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. JODIE SAINDON
Title or Position: OFFICE MANAGER
Credential:
Phone: 860-745-2712