Provider Demographics
NPI:1104380740
Name:GREENBERG, ALLISON (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:
Last Name:GREENBERG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3909 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-2872
Mailing Address - Country:US
Mailing Address - Phone:203-374-1911
Mailing Address - Fax:
Practice Address - Street 1:3909 MAIN ST
Practice Address - Street 2:
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-2872
Practice Address - Country:US
Practice Address - Phone:203-374-1911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-28
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program