DESIREE NICOLE OUTLAW DDS
NPI 1538644471
Dentist in East Hartford, CT

Q: What is Desiree Outlaw's NPI number?

The NPI number for Desiree Outlaw is 1538644471. It was assigned to this individual provider in the NPPES registry on September 26, 2018. The provider is also known as Desiree Nicole Bryant Dds.

Q: What is Desiree Outlaw's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Desiree Outlaw was last updated on July 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 26, 2018

94 CONNECTICUT BLVD, EAST HARTFORD, CT 06108(860) 610-6348 Get Directions Write a Review

NPPES record last updated: July 23, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 23, 2020, Sep 26, 2018 (2 updates tracked since 2018).

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About Desiree Nicole Outlaw Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESIREE NICOLE OUTLAW DDS (NPI 1538644471) is an individual dentist in East Hartford, Connecticut, licensed in Connecticut (12817) and active in the NPI registry since September 2018.

NPPES Registry Identity

NPI1538644471

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameDESIREE NICOLE OUTLAWCredential: DDS

Location Address94 CONNECTICUT BLVDEast Hartford, CT 06108-3013

Mailing Address22 Liberty Sq Apt 381Bloomfield, CT 06002-5407 · (301) 325-6412

Phone(860) 610-6348

Sole ProprietorNo

Enumeration DateSeptember 26, 2018

Last NPPES UpdateJuly 23, 20202 updates tracked since enumeration

NPPES CertifiedJuly 23, 2020

✔ NPI 1538644471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CT · 12817

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 060129 (NY)

94 CONNECTICUT BLVD, East Hartford, CT 06108

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Other Names 1

Former Name (1)Desiree Nicole Bryant Dds

Other Identifiers 1

Other12817CT · Dental License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Humana.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MORGAN PRINGNITZ PA-C

Physician Assistant