Provider Demographics
NPI:1104195858
Name:AUGER, AMBER (RDH)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:AUGER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 CANAL ST UNIT 101
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:CT
Mailing Address - Zip Code:06484-8109
Mailing Address - Country:US
Mailing Address - Phone:207-713-6703
Mailing Address - Fax:
Practice Address - Street 1:1 POMPERAUG OFFICE PARK STE 206
Practice Address - Street 2:
Practice Address - City:SOUTHBURY
Practice Address - State:CT
Practice Address - Zip Code:06488-2295
Practice Address - Country:US
Practice Address - Phone:203-264-1497
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007630124Q00000X
MERDH3725124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTXGP0927M20207OtherANTHEM