Provider Demographics
NPI:1922549518
Name:DENTAL WELLNESS & HEALTH, P.C
Entity Type:Organization
Organization Name:DENTAL WELLNESS & HEALTH, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAHINE
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-744-1814
Mailing Address - Street 1:16 HOSPITAL AVE
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5927
Mailing Address - Country:US
Mailing Address - Phone:203-744-1814
Mailing Address - Fax:
Practice Address - Street 1:16 HOSPITAL AVE STE 403
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5994
Practice Address - Country:US
Practice Address - Phone:203-744-1814
Practice Address - Fax:203-790-0831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT8257122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty