| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TRISTAN G EMBORGO | 1780326371 | 2023-01-22 |
Tristan G Emborgo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780326371. Registration indicates Tristan G Emborgo is a provider of access to dentists-general services with a specialization in Dental Providers, Dentist (Dental Providers, Dentist) (Dentist, ) (Dental, ) (Dentist, Dental Providers)
| Entity Type | Individual |
| Provider Name | Dr. Tristan G Emborgo DDS |
| Practice Office Address | 54 MAIN ST STE F DANBURY, CT US |
| Practice Office Telephone | 2037900111 |
| Practice Office Fax | 2037970822 |
| Mailing Address | 54 MAIN ST STE F DANBURY, CT 068103009 US |
| Business Telephone | 9144184917 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 246 Federal Rd Ste B11 | Brookfield, CT 068042651 | 2037900111 / 2037752477 |
| 4154 Madison Ave | Trumbull, CT 066113563 | 2033740000 |
| 3715 Main St Ste 303 | Bridgeport, CT 066063611 | 2033740000 |
| Code | Practice | License No State |
|---|---|---|
| 122300000X PRIMARY | Access to Dentists-General Dental Providers Dentist Dental Providers Dentist Dentist Dental Dentist Dental Providers | 013501
CT |