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

Ellen Eisenberg, DMD

Individual provider General Practice Dentistry · NPI 1013913367

Ellen Eisenberg, DMD is an Oral Surgery in Farmington, Connecticut. Graduated from Perelman School of Med at the University of Pennsylvania in 1973, 53 years ago. Practices with University Dentists, a 7-clinician group. Licensed in Connecticut.

Years since qualifying
53
Trained at
Perelman School of Med at the University of Pennsylvania
Licensed in
CT
In the registry since
2005
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

263 Farmington Ave
Farmington, CT 06030-0001
Phone: (860) 679-2952
Fax: (860) 679-4760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Pathology Dentistry (primary) Taxonomy 1223P0106X · Licence 005451 (CT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 005451 (CT)

Record details

NPI number1013913367
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 22, 2005
Last updated in NPPESSeptember 28, 2022
Certification dateMay 10, 2021
Mailing address263 Farmington Ave, Provider Enrollment, Farmington, CT 06030-2212

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolPERELMAN SCHOOL OF MED AT THE UNIVERSITY OF PENNSYLVANIA
Graduated 1973 (53 years in practice)
Group practice University Dentists — 7 clinicians
Accepts Medicare assignment Not indicated

Other providers in Farmington