Individual provider · Type 1 NPI

Irene Ellison

Dental Hygienist · Bridgeport, CT

NPI number 1083697916 Active

Practice location

471 Barnum Ave
Bridgeport, CT 06608-2409

Call (203) 333-6864 Map

Fax (203) 333-6864

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000XNone listed

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1083697916

Irene Ellison's National Provider Identifier is 1083697916, issued on Nov 23, 2005. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Bridgeport, CT. The record was last updated on Jul 13, 2026.