Provider Demographics
NPI:1134222987
Name:URBANSKI, MARIANNE MURRAY (DMD,MSCD)
Entity type:Individual
Prefix:DR
First Name:MARIANNE
Middle Name:MURRAY
Last Name:URBANSKI
Suffix:
Gender:F
Credentials:DMD,MSCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:265 OREGON RD
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-1827
Mailing Address - Country:US
Mailing Address - Phone:203-271-0794
Mailing Address - Fax:203-235-6673
Practice Address - Street 1:546 S BROAD ST
Practice Address - Street 2:SUITE 3A
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06450-6600
Practice Address - Country:US
Practice Address - Phone:203-630-1312
Practice Address - Fax:203-235-6673
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT70031223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics