SPH3ENTERPRISE, LLC (NPI# 1053727479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053727479 |
| Entity Type | Organization |
| Organization Name | SPH3ENTERPRISE, LLC |
| Practice Address |
194 Buckland Hills Drive Manchester CT 06042 |
| Mailing Address |
194 Buckland Hills Dr Manchester CT 06042-8705 |
| Practice Telephone | 8606440099 |
| Practice Fax Number | 8606440109 |
| Mailing Telephone | 8606440099 |
| Mailing Fax Number | 8606440109 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2014-07-07 |
| Authorized Official Name | ANDRE LAVOIE (OFFICE MANAGER) |
| Authorized Official Telephone | 8606440099 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
010954 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1972893352 | 05 | |
| CT | 1467611632 | 05 |
| Street Address |
194 BUCKLAND HILLS DRIVE |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| 1316926355 | Robert G Stoker | Chiropractor | 375 Oakland St, Manchester, CT 06042 | 2006-01-10 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1184087058 | Allure Dental, Inc | Dentist | 50 S Main St, Manchester, NH 03102-4405 | 2016-03-30 |
| 1154798247 | Sph3 Enterprise LLC | Dentist | 194 Buckland Hills Dr, Suite 1076, Manchester, CT 06042-8705 | 2015-08-25 |
| 1477745602 | Paul E. Honeycutt, Dds | Dentist | 1240 Mcarthur St, Manchester, TN 37355-2445 | 2007-08-12 |
| 1255548806 | Ralph P. Ergas Dmd Lynnette Nyberg Dmd Msd Pa | Dentist | 1100 Bicentennial Dr, Manchester, NH 03104-2140 | 2007-05-16 |
| 1942422969 | Robert Lloyd Childress | Dentist | 1240 Mcarthur St, Manchester, TN 37355-2445 | 2007-05-02 |
| 1851329510 | Pediatric Dental Assoc P.C. | Dentist | 192 Main St, Manchester, CT 06042-3581 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1033536313 | Darien Dental Arts | Dentist | 800 Post Rd Fl 3, Darien, CT 06820-4622 | 2014-03-25 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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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.