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NPI Code Detail

MEDICARE: DR. JUDITH LOMBARDO DMD

MEDICARE: DR. JUDITH LOMBARDO DMD
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
11223G0001XGeneral Practice Dentistry008739CT

General Provider Information

NPI Number : 1538376967
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JUDITH LOMBARDO DMD
Provider Business Mailing Address
First Line : 620 THREE MILE HILL RD
Second Line :
City : MIDDLEBURY
State : CT
Zip : 06762-1617
Country : US
Telephone Number : 203-758-7733
Fax Number :
Provider Business Practice Location Address
First Line : 10 MARINE ST
Second Line : SUITE 6
City : THOMASTON
State : CT
Zip : 06787-1470
Country : US
Telephone Number : 860-283-5770
Fax Number : 860-283-8335
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 02/09/2017

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Directions to “ DR. JUDITH LOMBARDO DMD” Practice Location

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