Provider Demographics
NPI:1467161315
Name:XHIHANI, BLERINA (RDH, OMT)
Entity Type:Individual
Prefix:
First Name:BLERINA
Middle Name:
Last Name:XHIHANI
Suffix:
Gender:F
Credentials:RDH, OMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 ARVIDA RD
Mailing Address - Street 2:
Mailing Address - City:WOLCOTT
Mailing Address - State:CT
Mailing Address - Zip Code:06716-2766
Mailing Address - Country:US
Mailing Address - Phone:203-206-2297
Mailing Address - Fax:
Practice Address - Street 1:315 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2547
Practice Address - Country:US
Practice Address - Phone:203-806-5221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006510124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT006510OtherLISENCE NUMBER