Provider Demographics
NPI:1073727053
Name:TRAYNOR, EMAN J (DMD,MS,LLC)
Entity Type:Individual
Prefix:DR
First Name:EMAN
Middle Name:J
Last Name:TRAYNOR
Suffix:
Gender:F
Credentials:DMD,MS,LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 VALLEY DR STE 302
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06831-5205
Mailing Address - Country:US
Mailing Address - Phone:203-661-5885
Mailing Address - Fax:203-661-8771
Practice Address - Street 1:15 VALLEY DR STE 302
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06831-5205
Practice Address - Country:US
Practice Address - Phone:203-661-5885
Practice Address - Fax:203-661-8771
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0083491223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics