Dr. Eileen C Kirschbaum
Pediatric Dentist
230a Mountain Rd
Suffield
, Connecticut 06078
Dr. Eileen C Kirschbaum
Pediatric Dentist
230a Mountain Rd
Suffield
, Connecticut 06078
(860) 386-6736
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About
Features
Specialties
- Pediatric Dentist
Languages spoken
- English
Location
First Address
- Dr. Eileen C Kirschbaum
- 230a Mountain Rd
- Suffield, CT
- Zip : 06078
- Fax : (860) 386-6736
- Phone : (860) 668-6128
Second Address
- Dr. Eileen C Kirschbaum
- 230a Mountain Rd
- Suffield, CT
- Zip : 06078
- Fax : (860) 386-6736
- Phone : (860) 668-6128
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0221X | Pediatric Dentist | 7282 | CT |
National Provider Identifier
| NPI | 1093856825 |
|---|---|
| Provider Name | Dr. Eileen C Kirschbaum |
| First Address | Suffield, CT 06078 |
| Second Address | Suffield, CT 06078 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.