Provider Demographics
NPI:1215343926
Name:AQUILINA, STEFANIE DEE (DMD)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:DEE
Last Name:AQUILINA
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 CHURCH HILL RD STE 201
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06470-1648
Mailing Address - Country:US
Mailing Address - Phone:203-426-5891
Mailing Address - Fax:
Practice Address - Street 1:32 CHURCH HILL RD STE 201
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:CT
Practice Address - Zip Code:06470-1648
Practice Address - Country:US
Practice Address - Phone:203-426-5891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-02
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18571181223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry