Provider Demographics
NPI:1902474521
Name:MUELLER, ELIZABETH COLBY (DMD)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:COLBY
Last Name:MUELLER
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5637
Mailing Address - Country:US
Mailing Address - Phone:203-743-0783
Mailing Address - Fax:
Practice Address - Street 1:289 WHITE ST
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-3700
Practice Address - Country:US
Practice Address - Phone:203-743-4670
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-11
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT13878122300000X
RIDEN035531223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Yes122300000XDental ProvidersDentist