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NPI Code Detail

MEDICARE: MS. ASHLEY E BRODIGAN DDS

MEDICARE:  MS. ASHLEY E BRODIGAN  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
11223P0221XPediatric Dentistry14207CT

General Provider Information

NPI Number : 1770111577
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHLEY E BRODIGAN DDS
Provider Business Mailing Address
First Line : 47 WEST ST STE 202
Second Line :
City : DANBURY
State : CT
Zip : 06810-6517
Country : US
Telephone Number : 203-323-5439
Fax Number :
Provider Business Practice Location Address
First Line : 47 WEST ST STE 202
Second Line :
City : DANBURY
State : CT
Zip : 06810-6517
Country : US
Telephone Number : 203-323-5439
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2020
Last Update Date : 08/20/2024

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Directions to “ MS. ASHLEY E BRODIGAN DDS” Practice Location

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