Individual
ELISA BATTISTONI HANNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD, MD
Contact information
Practice address
34 DALE RD STE 105, AVON, CT 06001-3659
(860) 674-8079
Mailing address
34 DALE RD STE 105, AVON, CT 06001-3659
(860) 674-8079
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
13976
CT
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
77680
CT
Other
Enumeration date
03/12/2018
Last updated
09/16/2025
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