Provider Demographics
NPI:1922039767
Name:PAIVA-BORDUAS, JOANNE MARIA (DDS)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:MARIA
Last Name:PAIVA-BORDUAS
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 1:289 WHITE ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-6934
Mailing Address - Country:US
Mailing Address - Phone:203-743-4670
Mailing Address - Fax:
Practice Address - Street 1:289 WHITE ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-6934
Practice Address - Country:US
Practice Address - Phone:203-743-4670
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT008175122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist