Provider Demographics
NPI:1043565054
Name:SAFERIN, TORI ELIZABETH (DMD)
Entity Type:Individual
Prefix:DR
First Name:TORI
Middle Name:ELIZABETH
Last Name:SAFERIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 COUNTRY SQUIRE DR
Mailing Address - Street 2:CROMWELL DENTAL
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-2512
Mailing Address - Country:US
Mailing Address - Phone:860-635-6445
Mailing Address - Fax:
Practice Address - Street 1:30 COUNTRY SQUIRE DR
Practice Address - Street 2:CROMWELL DENTAL
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416-2512
Practice Address - Country:US
Practice Address - Phone:860-635-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT109801223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice