Provider Demographics
NPI:1972713535
Name:FILBERT, ELIZABETH ANNE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:ANNE
Last Name:FILBERT
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1389 WEST MAIN STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708
Mailing Address - Country:US
Mailing Address - Phone:203-757-1287
Mailing Address - Fax:203-575-1537
Practice Address - Street 1:1389 WEST MAIN STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708
Practice Address - Country:US
Practice Address - Phone:203-757-1287
Practice Address - Fax:203-575-1537
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT93041223G0001X
CT0093041223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics
No1223G0001XDental ProvidersDentistGeneral Practice