Provider Demographics
NPI:1417061938
Name:DEALMEIDA, NELPHISON SR (DDS)
Entity Type:Individual
Prefix:DR
First Name:NELPHISON
Middle Name:
Last Name:DEALMEIDA
Suffix:SR
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 DEER HILL AVE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-7939
Mailing Address - Country:US
Mailing Address - Phone:203-743-6241
Mailing Address - Fax:203-791-2508
Practice Address - Street 1:118 DEER HILL AVE
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-7939
Practice Address - Country:US
Practice Address - Phone:203-743-6241
Practice Address - Fax:203-791-2508
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT56931223G0001X
NY320251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice