Healthcare Provider Details

I. General information

NPI: 1578331237
Provider Name (Legal Business Name): CINDY VICKY OVIEDO-CASTELLINI RDH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2023
Last Update Date: 09/09/2025
Certification Date: 09/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 TOWN ST
NORWICH CT
06360-2323
US

IV. Provider business mailing address

113 MAD RIVER RD
WOLCOTT CT
06716-1922
US

V. Phone/Fax

Practice location:
  • Phone: 203-756-8021
  • Fax:
Mailing address:
  • Phone: 203-768-3246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number8327
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: