Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Eben Light

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1770961344

Dr. Eben Light is a Student in an Organized Health Care Education/Training Program in Cromwell, Connecticut. Licensed in Connecticut. Registered with an NPI since 2015.

Licensed in
CT
In the registry since
2015
Specialties on file
2

Practice location Address checks out

75 Berlin Rd Ste 108
Cromwell, CT 06416-2633
Phone: (860) 635-1515
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 11695 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CT)

Record details

NPI number1770961344
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 14, 2015
Last updated in NPPESOctober 13, 2016
Mailing address414 Fountain St Apt B, New Haven, CT 06515-2630

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