DENTAL SMILES OF ORANGE LLC (NPI# 1053894261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053894261 |
Entity Type | Organization |
Organization Name | DENTAL SMILES OF ORANGE LLC |
Practice Address |
109 Boston Post Rd Orange CT 06477-3235 |
Practice Telephone | 2035539500 |
Mailing Telephone | 2035539500 |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-10-09 |
Authorized Official Name | DR. IRSHAD MOHAMMED (OWNER) |
Authorized Official Telephone | 2035539500 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | 1376733139 | 05 |
Street Address |
109 BOSTON POST RD |
City | ORANGE |
State | CT |
Zip Code | 06477-3235 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013943448 | Gary Nicholas Grippo | Podiatrist | 109 Boston Post Rd, Orange, CT 06477-3235 | 2006-06-25 |
1952918542 | Sarah Elizabeth Hill | Physician Assistant | 109 Boston Post Rd, Orange, CT 06477-3235 | 2020-09-28 |
1194334359 | Nelson Leach | Nurse Practitioner | 109 Boston Post Rd, Orange, CT 06477-3235 | 2020-07-23 |
1942749304 | Jennifer Cole | Nurse Practitioner | 109 Boston Post Rd, Orange, CT 06477-3235 | 2017-02-18 |
1619427051 | Elisha Hazel | Nutritionist | 109 Boston Post Rd, Orange, CT 06477-3235 | 2016-10-10 |
1881057891 | Renee G Delahaye | Physician Assistant | 109 Boston Post Rd, Orange, CT 06477-3235 | 2016-03-29 |
1972978187 | Darrin Whited | Physician Assistant | 109 Boston Post Rd, Orange, CT 06477-3235 | 2015-12-14 |
1275915779 | Naugatuck Valleyweightloss Center LLC | Family Medicine | 109 Boston Post Rd, Orange, CT 06477-3235 | 2015-06-22 |
1386040186 | Naugatuck Valley Weight Loss Center LLC | Family Medicine | 109 Boston Post Rd, Orange, CT 06477-3235 | 2014-11-06 |
1730464470 | Evergreen Dental LLC | Dentist | 109 Boston Post Rd, Orange, CT 06477-3235 | 2011-10-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
Find all providers in zip 06477 |
Taxonomy Code | 1223S0112X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Oral and Maxillofacial Surgery |
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437608080 | David R. Crouch, Dds Inc | Dentist | 1500 E Katella Ave Ste B, Orange, CA 92867-5087 | 2016-09-23 |
1154697613 | Zaid Faraji | Dentist | 1330 N Glassell St Ste E, Orange, CA 92867-3628 | 2012-03-29 |
1477844488 | Mohammed Tabel | Dentist | 2839 E Coolidge Ave, Orange, CA 92867-5213 | 2011-04-25 |
1952549743 | William F. Owen IIi | Dentist | 2811 E Katella Ave, Suite 204, Orange, CA 92867-5247 | 2009-02-02 |
1033310461 | Amos Michael Barnes | Dentist | 462 S Harrison St, Orange, NJ 07050-3115 | 2007-05-31 |
1528277050 | Hung X Dinh Dmd A Professional Dental Corp | Dentist | 3402 E Chapman Ave, Orange, CA 92869-3813 | 2007-05-22 |
1215027982 | Edward M Drescher | Dentist | 380 Boston Post Rd, Orange, CT 06477-3524 | 2006-10-13 |
1376502344 | Paul David Braun | Dentist | 2401 W Chapman Ave, #101, Orange, CA 92868-2336 | 2006-03-20 |
1366612954 | Bao-thy Ngoc Grant | Dentist | 1110 E Chapman Ave, Suite 100, Orange, CA 92866-2139 | 2008-03-10 |
1598838351 | Keith David Hoffman | Dentist | 1500 E Katella Ave, Suite R, Orange, CA 92867 | 2006-11-17 |
Find all providers in ORANGE |
Please comment or provide details below to improve the information on DENTAL SMILES OF ORANGE 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.