SMILES ON THE GO RDH, LLC (NPI# 1013472414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013472414 |
| Entity Type | Organization |
| Organization Name | SMILES ON THE GO RDH, LLC |
| Practice Address |
1 Chelsea Ln East Granby CT 06026-9634 |
| Mailing Address |
653 College Hwy P.o. Box 885 Southwick MA 01077-0885 |
| Practice Telephone | 8603800830 |
| Mailing Telephone | 8603800830 |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2019-02-10 |
| Authorized Official Name | MS. ROSA CLARK (OWNER) |
| Authorized Official Telephone | 8603800830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
1 CHELSEA LN |
| City | EAST GRANBY |
| State | CT |
| Zip Code | 06026-9634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174811160 | Rosa Noda-clark | Dental Hygienist | 1 Chelsea Ln, East Granby, CT 06026 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346366945 | Petra Irmgard Mursch | Chiropractor | 56a Rainbow Road, East Granby, CT 06026 | 2007-03-22 |
| 1851456743 | Ellen Farmer Lanctot | Chiropractor | 19 South Main St, East Granby, CT 06026 | 2006-12-22 |
| 1891855573 | Kathleen J Armata | Counselor | 59-61 Rainbow Road, East Granby, CT 06026 | 2006-12-11 |
| 1417312943 | Coleen Sutherland | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2015-12-29 |
| 1295038446 | Christine Noelle Levine | Behavioral Analyst | 15 School Street, East Granby, CT 06026 | 2010-12-09 |
| 1275630402 | Robert L Gordon | Dentist | 11 S Main St, East Granby, CT 06026 | 2006-09-20 |
| 1760469829 | David R Howlett | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| 1528045697 | Jeannie M Crabtree | Nurse Practitioner | 13 Church St, East Granby, CT 06026-0518 | 2005-12-29 |
| 1326105958 | Anne M Reiher | Family Medicine | 13 Church Rd, East Granby, CT 06026-0518 | 2007-01-02 |
| 1154308229 | East Granby Family Practice LLC | Nurse Practitioner | 13 Church Rd, East Granby, CT 06026-0518 | 2005-12-29 |
| Find all providers in zip 06026 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674728 | North Main Dental Group LLC | Clinic/Center | 225 N Main St Ste 210, Bristol, CT 06010-4993 | 2020-09-22 |
| 1790397776 | Best Way Dental Services, LLC | Clinic/Center | 886 Main St Ste B, Willimantic, CT 06226-2340 | 2020-08-20 |
| 1194357418 | Bolton Lake Dental LLC | Clinic/Center | 1120 Boston Tpke, Bolton, CT 06043-7439 | 2020-02-05 |
| 1124669924 | Dental Essentials of Rocky Hill | Clinic/Center | 2301 Silas Deane Hwy # 2, Rocky Hill, CT 06067-2330 | 2019-10-02 |
| 1730736216 | Pearl Dental of Trumbull, Pllc | Clinic/Center | 140 Monroe Tpke Unit C, Trumbull, CT 06611-1357 | 2019-08-20 |
| 1134774953 | Ezra Friedman Dds | Clinic/Center | 464 Wolcott Rd Ste 2, Wolcott, CT 06716-2626 | 2019-08-08 |
| 1790343051 | Madison Dental Spa | Clinic/Center | 90 Wall St Ste 100, Madison, CT 06443-3128 | 2019-06-03 |
| 1730644212 | Resolute Cross Road LLC | Clinic/Center | 112 Cross Rd, Waterford, CT 06385-1204 | 2019-02-08 |
| 1861966954 | James S Bauer Dmd Incorporated | Clinic/Center | 40 Main St N Ste E, Woodbury, CT 06798-2966 | 2019-01-11 |
| 1821568650 | Parkway Dental Np LLC | Clinic/Center | 1869 Dixwell Ave Ste 4, Hamden, CT 06514-3145 | 2018-12-05 |
| Find all providers with the same taxonomy | ||||
| City | EAST GRANBY |
| Zip Code | 06026 |
Please comment or provide details below to improve the information on SMILES ON THE GO RDH, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.