Provider Demographics
NPI:1780397455
Name:MONARCH DENTISTRY
Entity type:Organization
Organization Name:MONARCH DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CELLIERS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:203-288-0722
Mailing Address - Street 1:190 WAITE ST
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06517-2529
Mailing Address - Country:US
Mailing Address - Phone:203-671-0030
Mailing Address - Fax:
Practice Address - Street 1:2447 WHITNEY AVE STE 204
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06518-3211
Practice Address - Country:US
Practice Address - Phone:203-288-0722
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-27
Last Update Date:2022-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty