Individual provider · Type 1 NPI

Elizabeth Cipes Chisholm, D.M.D

Pediatric Dentistry · West Hartford, CT

NPI number 1740443225 Active

Practice location

798 Farmington Ave
West Hartford, CT 06119-1626

Mailing address

33 Audubon Way
Sturbridge, MA 01566-2323

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X010140 (CT)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1740443225

Elizabeth Cipes Chisholm, D.M.D's National Provider Identifier is 1740443225, issued on Jul 6, 2008. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in West Hartford, CT. The record was last updated on Jun 25, 2010.