PEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC (NPI# 1053704445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053704445 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL SEDATION SPECIALIST OF CONNECTICUT LLC |
| Other Organization Name | PEDIATRIC DENTAL SEDATION SPECIALISTS OF CONNECTICUT |
| Practice Address |
120 East Ave Norwalk CT 06851-5703 |
| Mailing Address |
17a Sintsink Dr W Port Washington NY 11050-2015 |
| Practice Telephone | 2038172534 |
| Mailing Telephone | 2482174590 |
| Enumeration Date | 2015-03-10 |
| Last Update Date | 2015-08-17 |
| Authorized Official Name | DR. JESSICA LYNN LEVY (MEMBER) |
| Authorized Official Telephone | 9178417780 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
010473 | CT | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
005945 | CT | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
010495 | CT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Pediatric Dental Sedation Specialists of Connecticut | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Pediatric Dental Sedation Specialist of Connecticut LLC | 120 East Avenue, Norwalk, CT 06851 |
| Street Address |
120 EAST AVE |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-5703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745407 | Milissa Schramm | Counselor | 120 East Ave, Norwalk, CT 06851-5703 | 2020-09-22 |
| 1679181226 | Megan Markelon | Student in an Organized Health Care Education/Training Program | 120 East Ave, Norwalk, CT 06851-5703 | 2020-07-20 |
| 1730701814 | Melanche Hutchinson | Counselor | 120 East Ave, Norwalk, CT 06851-5703 | 2020-05-12 |
| 1699337287 | Briana Lapegna | Social Worker | 120 East Ave, Norwalk, CT 06851-5703 | 2019-07-03 |
| 1518524156 | Jessica Spinelli Minieri | Counselor | 120 East Ave, Norwalk, CT 06851-5703 | 2019-05-20 |
| 1437672474 | Dental Specialists Center of Connecticut LLC | Dentist | 120 East Ave, Norwalk, CT 06851-5703 | 2017-07-21 |
| 1093244576 | Infinity Health LLC | Clinic/Center | 120 East Ave, Norwalk, CT 06851-5703 | 2017-06-08 |
| 1568998706 | Catholic Charities of Fairfield County | Community/Behavioral Health | 120 East Ave, Norwalk, CT 06851-5703 | 2017-05-09 |
| 1871039644 | Alan B. Rosenthal Dmd, LLC | Dentist | 120 East Ave, Norwalk, CT 06851-5703 | 2017-01-17 |
| 1891231346 | Dental Sleep Medicine Center for Snoring and Sleep Apnea LLC | Dentist | 120 East Ave, Ste 3, Norwalk, CT 06851-5703 | 2017-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841720794 | Asleep Dentistry | Dentist | 37 North Ave, Norwalk, CT 06851-3827 | 2017-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326061821 | William Andrew Macdonnell | Dentist | 158 Hunter Dr, West Hartford, CT 06107-1017 | 2006-07-25 |
| 1770935710 | Tee-pee Dentistry P.C. | Dentist | 468 Clinton Ave, Bridgeport, CT 06605-1713 | 2016-07-01 |
| 1043696107 | Walnut Dental | Dentist | 272 Franklin Ave, Hartford, CT 06114 | 2015-07-30 |
| 1790170033 | Yale-new Haven Hospital | Dentist | 1 Long Wharf Dr, Suite 403, New Haven, CT 06511-5991 | 2015-04-03 |
| 1669775508 | Scott Maurice Dillard | Dentist | 401 Center St, Manchester, CT 06040-3924 | 2010-12-15 |
| 1619171790 | Kids Dental Care, LLC | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2007-06-13 |
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| 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.