Provider Demographics
NPI:1932832680
Name:DASHTI, DENNA (DC)
Entity Type:Individual
Prefix:
First Name:DENNA
Middle Name:
Last Name:DASHTI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:DENNA
Other - Middle Name:
Other - Last Name:DASHTI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:1200 HIGH RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06905-1223
Mailing Address - Country:US
Mailing Address - Phone:203-967-8888
Mailing Address - Fax:203-967-1111
Practice Address - Street 1:1200 HIGH RIDGE RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06905-1223
Practice Address - Country:US
Practice Address - Phone:203-967-8888
Practice Address - Fax:203-967-1111
Is Sole Proprietor?:No
Enumeration Date:2022-07-08
Last Update Date:2022-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor