Provider Demographics
NPI:1659695955
Name:MARCHI, FERNANDA D (DDS)
Entity Type:Individual
Prefix:DR
First Name:FERNANDA
Middle Name:D
Last Name:MARCHI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:FERNANDA
Other - Middle Name:MARCHI
Other - Last Name:RUDY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:1275 POST RD
Mailing Address - Street 2:SUITE 211
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6015
Mailing Address - Country:US
Mailing Address - Phone:203-292-6644
Mailing Address - Fax:
Practice Address - Street 1:1275 POST RD
Practice Address - Street 2:SUITE 211
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6015
Practice Address - Country:US
Practice Address - Phone:203-292-6644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2017-02-07
Deactivation Date:2010-03-03
Deactivation Code:
Reactivation Date:2010-03-16
Provider Licenses
StateLicense IDTaxonomies
NY0490071223X0400X
CT0087841223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics