Provider Demographics
NPI:1497098511
Name:SEBRO, ASHLEIGH A (DDS)
Entity Type:Individual
Prefix:DR
First Name:ASHLEIGH
Middle Name:A
Last Name:SEBRO
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 1:101 OLD RIDGEFIELD RD STE 103
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-3047
Mailing Address - Country:US
Mailing Address - Phone:203-529-1242
Mailing Address - Fax:
Practice Address - Street 1:101 OLD RIDGEFIELD RD STE 103
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-3047
Practice Address - Country:US
Practice Address - Phone:203-529-1242
Practice Address - Fax:203-648-9323
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-27
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0580761223P0221X
PADS0398581223P0221X
CT115471223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry