Ellen Eisenberg is a Farmington, Connecticut based Dentist with
52 years of experience in
General Practice Dentistry. She completed her graduation from
Perelman School Of Med At The University Of Pennsylvania in 1973. She may accept the Medicare-approved amount. Patients may be billed for more than the Medicare deductible and coinsurance. Active license number of Ellen Eisenberg is
005451 for Oral and Maxillofacial Pathology in Connecticut. Her current practice location is
263 Farmington Ave, Farmington. Patients can reach her at
860-679-2952.
Ellen Eisenberg is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Ellen Eisenberg speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Ellen Eisenberg |
| Specialization: | Dentist |
| Gender: | Female |
| Credentials: | DMD |
| Experience: | 52+ years |
| Medical School Attended: | Perelman School Of Med At The University Of Pennsylvania |
| Graduation Year: | 1973 |
| Accepts Medicare Assignment: | May Accept |
| Practice Address: | 263 Farmington Ave, Farmington,
Connecticut, 06030-0001 |
| Phone: | 860-679-2952 |
| Fax: | 860-679-4760 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 7113062340 |
| Enrollment ID: | I20100226000523 |
| NPI Number: | 1013913367 |
| NPI Enumeration Date: | 22 Jun, 2005 |
| NPI Last Update On: | 28 Sep, 2022 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellen Eisenberg are as mentioned below.
| License Number | Specialization | State | Status | |
| 005451 | Oral and Maxillofacial Pathology | Connecticut | Primary | |
| 005451 | General Practice Dentistry | Connecticut | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ellen Eisenberg is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| University Dentists (6800167172) | 5 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ellen Eisenberg such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 2054518 | Medicaid | Connecticut | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 263 Farmington Ave, Provider Enrollment
Farmington, Connecticut |
| Zip: | 06030-2212 |
| Phone Number: | 860-679-7503 |
| Fax Number: | 860-679-1610 |
Patients can reach Ellen Eisenberg at
263 Farmington Ave, Farmington, Connecticut or can
call to book an appointment on 860-679-2952.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.