Provider Demographics
NPI:1497041149
Name:ROBB, VANESSA JANINE (DDS)
Entity Type:Individual
Prefix:DR
First Name:VANESSA
Middle Name:JANINE
Last Name:ROBB
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:MS
Other - First Name:VANESSA
Other - Middle Name:JANINE
Other - Last Name:SCHIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:51 MARKET SQ
Mailing Address - Street 2:
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-2912
Mailing Address - Country:US
Mailing Address - Phone:860-667-0818
Mailing Address - Fax:
Practice Address - Street 1:51 MARKET SQ
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2912
Practice Address - Country:US
Practice Address - Phone:860-667-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT010704122300000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program