YALE NEW HAVEN PEDIATRIC DENTAL CENTER (Credential# 1045588) is licensed (Controlled Substance Registration for Practitioner) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2019. The license expiration date date is February 28, 2021. The license status is ACTIVE.
YALE NEW HAVEN PEDIATRIC DENTAL CENTER is licensed with the Department of Consumer Protection of Connecticut. The credential number is #CSP.0051826. The credential type is controlled substance registration for practitioner. The effective date is March 1, 2019. The expiration date is February 28, 2021. The business address is 1 Long Wharf Dr Ste 404, New Haven, CT 06511-5991. The current status is active.
| Licensee Name | YALE NEW HAVEN PEDIATRIC DENTAL CENTER |
| Business Name | YALE NEW HAVEN PEDIATRIC DENTAL CENTER |
| Credential ID | 1045588 |
| Credential Number | CSP.0051826 |
| Credential Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| Business Address |
1 Long Wharf Dr Ste 404 New Haven CT 06511-5991 |
| Business Type | COMPANY |
| Status | ACTIVE - CURRENT |
| Active | 1 |
| Issue Date | 2012-01-05 |
| Effective Date | 2019-03-01 |
| Expiration Date | 2021-02-28 |
| Refresh Date | 2019-01-15 |
| Street Address | 1 LONG WHARF DR STE 404 |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06511-5991 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Teresa E Bunn Dds | 1 Long Wharf Dr Ste 404, New Haven, CT 06511-5991 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Christine L Patterson | 1 Long Wharf Dr Ste 105, New Haven, CT 06511-5991 | Physician/surgeon | 2020-09-01 ~ 2021-08-31 |
| Kaitlyn Carrera | 1 Long Wharf Dr Fl 2, New Haven, CT 06511-5991 | Registered Nurse | 2020-06-01 ~ 2021-05-31 |
| Hector Colon-rivera | 1 Long Wharf Dr Apt Foundation Inc, New Haven, CT 06511-5991 | Resident Physician | 2016-08-04 ~ 2021-06-30 |
| Carol A Standish | 1 Long Wharf Dr Ste 500, New Haven, CT 06511-5991 | Advanced Practice Registered Nurse | 2020-05-01 ~ 2021-04-30 |
| Gretchen L Hermes Md | 1 Long Wharf Dr Apt Foundation, New Haven, CT 06511-5991 | Physician/surgeon | 2020-03-01 ~ 2021-02-28 |
| Visiting Nurse Association of South Central Connecticut Inc. · Vna of South Central Connecticut, Inc. | 1 Long Wharf Dr, New Haven, CT 06511-5991 | Home Health Care | 2020-04-01 ~ 2023-03-31 |
| Access Center | 1 Long Wharf Dr Ste 10, New Haven, CT 06511-5991 | Psychiatric Outpatient Clinic | 2020-01-01 ~ 2023-12-31 |
| Karine Calixte | 1 Long Wharf Dr Ste 175, New Haven, CT 06511-5991 | Controlled Substance Registration for Practitioner | 2019-11-26 ~ 2021-02-28 |
| Hancock Pharmacy At Long Wharf Inc | 1 Long Wharf Dr Ste 116, New Haven, CT 06511-5991 | Pharmacy | 2019-09-01 ~ 2020-08-31 |
| Kristine Hong | 1 Long Wharf Dr Ste 403, New Haven, CT 06511-5991 | Dentist | 2019-05-01 ~ 2020-04-30 |
| Find all Licenses in zip 06511-5991 | |||
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Montessori School On Edgewood Inc. | 230 Edgewood Avenue, New Haven, CT 06511 | Public Charity | 2019-06-01 ~ 2020-05-31 |
| Therese Parks · Visel Drug Store | 264 Munson St, New Haven, CT 06511 | Registered Nurse | 2020-07-01 ~ 2021-06-30 |
| Dazjia Monet Green | 115 Edgewood Ave Apt 64, New Haven, CT 06511 | Registered Nurse | 2020-06-27 ~ 2021-05-31 |
| Carol Yam | 343 Humphrey St, New Haven, CT 06511 | Registered Nurse | ~ |
| Marwan S Haddad | 38 Lincoln Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Mary Lou Gaeta Md | 558 Chapel Street, New Haven, CT 06511 | Physician/surgeon | 2020-07-01 ~ 2021-06-30 |
| Cary M Tucker | 64 Bishop St, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Frank J Pannenborg | 505 Ellsworth Ave, New Haven, CT 06511 | Architect | 2020-08-01 ~ 2021-07-31 |
| Crystal E Gooding | 26 Woodland Street, New Haven, CT 06511 | Notary Public Appointment | 2020-07-01 ~ 2025-06-30 |
| Kieran Jones | 260 Crown St Unit 1f, New Haven, CT 06511 | Registered Nurse | ~ |
| Find all Licenses in zip 06511 | |||
| City | NEW HAVEN |
| Zip Code | 06511 |
| License Type | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER |
| License Type + County | CONTROLLED SUBSTANCE REGISTRATION FOR PRACTITIONER + NEW HAVEN |
| Licensee Name | Office Address | Credential | Effective / Expiration |
|---|---|---|---|
| Mark D Baker | Yale New Haven Pediatric Emer Dept, New Haven, CT 06504 | Controlled Substance Registration for Practitioner | 2006-03-01 ~ 2007-02-28 |
| R Lawrence Moss Md | Yale Univ Div of Pediatric Surgery, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2009-03-01 ~ 2011-02-28 |
| Teresa P Monsod Md | Yale School of Medicine/pediatric Endocrinology, New Haven, CT 06520 | Controlled Substance Registration for Practitioner | 2002-03-01 ~ 2003-02-28 |
| Pediatric Oncology Treatment Center | 5520 Park Ave, Trumbull, CT 06611-3463 | Controlled Substance Registration for Practitioner | 2019-03-01 ~ 2021-02-28 |
| Yale University Department of Surgery Section of Pediatric Surgery | 330 Cedar St Fmb 131, New Haven, CT 06510-3218 | Controlled Substance Laboratory | ~ |
| Yale Stress Center, Yale University · Yale Stress Center | Stress Center, Yale University School of Med Yale, New Haven, CT 06519-1717 | Controlled Substance Laboratory | ~ |
| Yale Eye Center · Marvin L Sears Md | Dept of Opthalmology, New Haven, CT 06520 | Controlled Substance Laboratory | 2001-02-01 ~ 2002-01-31 |
| Yale Eye Center · Larry P Bausher Phd | Po Bob 208061, New Haven, CT 06520 | Controlled Substance Laboratory | 1995-01-31 ~ 1995-01-31 |
| Yale New Haven Shoreline Medical Center | 111 Goose Lane, Guilford, CT 06437 | Controlled Substance Registration for Hospitals | 2019-03-01 ~ 2019-06-17 |
| Childrens Hospital Pediatric Specialty Center | 500 W Putnam Ave Ste 220, Greenwich, CT 06830-6086 | Controlled Substance Registration for Hospitals | 2019-03-21 ~ 2021-02-28 |
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| Data Provider | Connecticut Department of Consumer Protection |
| Jurisdiction | Connecticut |
| Related Datasets | Connecticut Business Registrations, Connecticut Child Care Facilities |
This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).