DR. AVRAM SIMEON BERGER (NPI# 1063400273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063400273 |
| Entity Type | Individual |
| Full Name | DR. AVRAM SIMEON BERGER |
| Credential | D.D.S. |
| Practice Address |
333 Kennedy Dr Suite L101 Torrington CT 06790-3060 |
| Practice Telephone | 8604823513 |
| Practice Fax Number | 8604823514 |
| Mailing Telephone | 8604823513 |
| Mailing Fax Number | 8604823514 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2013-01-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
4357 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 002043578 | 05 |
| Street Address |
333 KENNEDY DR SUITE L101 |
| City | TORRINGTON |
| State | CT |
| Zip Code | 06790-3060 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669966800 | Aekta Patel | Dentist | 333 Kennedy Dr, Torrington, CT 06790-3060 | 2018-06-20 |
| 1942550991 | Antigona M Ajro | Nurse Practitioner | 333 Kennedy Dr, Suite L201, Torrington, CT 06790-3060 | 2012-09-18 |
| 1235435835 | Kirsten Deeds Grillo | Physician Assistant | 333 Kennedy Dr, Suite L201, Torrington, CT 06790-3060 | 2011-01-31 |
| 1255632667 | Kennedy Family Dental | Dentist | 333 Kennedy Dr, Suite-l-102, Torrington, CT 06790-3060 | 2010-11-16 |
| 1952618498 | Kennedy Dental | Dentist | 333 Kennedy Dr, Suite-102, Torrington, CT 06790-3060 | 2010-09-03 |
| 1386971562 | Dr. Mchugh and Associates, P.C. | Podiatrist | 333 Kennedy Dr, Suite L-103, Torrington, CT 06790-3060 | 2009-11-10 |
| 1295979094 | Frank L Kuzmin | Dentist | 333 Kennedy Dr, Torrington, CT 06790-3060 | 2009-04-23 |
| 1043454945 | Alan B Sherman | Dentist | 333 Kennedy Dr, Torrington, CT 06790-3060 | 2009-04-23 |
| 1376744839 | Michael Darius Lashgari | Dentist | 333 Kennedy Dr, Torrington, CT 06790-3060 | 2007-05-30 |
| 1073630067 | John L Robertson | Physician Assistant | 333 Kennedy Dr, Suite 202, Torrington, CT 06790-3060 | 2007-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922606516 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1280 East Main Street, Torrington, CT 06790 | 2020-10-15 |
| 1477118214 | Heller Counseling Services LLC | Counselor | 100 Migeon Ave., Torrington, CT 06790 | 2019-05-07 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1134607708 | Julia Baiju | Physical Therapist | 245 Alvord Park Rd Ste A2, Torrington, CT 06790 | 2018-08-05 |
| 1982194585 | Wellness At Home, LLC | Social Worker | 254 Eno Ave, Torrington, CT 06790 | 2018-05-18 |
| 1285142646 | A Step Up Counseling LLC | Counselor | 185 E Elm St, #2057, Torrington, CT 06790 | 2018-01-18 |
| 1093232597 | Joongwan Jay Kim | Pharmacist | 28 E Elm Street, Torrington, CT 06790 | 2017-08-25 |
| 1861869018 | Breanna M Berg | Physical Therapist | 30 Peck Road, Building #1; Suite 1101, Torrington, CT 06790 | 2015-08-24 |
| 1831570803 | Valerie Lange | Counselor | 326 Albany Turnpike, Canton, CT 06790 | 2015-06-15 |
| 1992120646 | Fitness Pantheon, LLC | Clinic/Center | 221 Water Street, Torrington, CT 06790 | 2014-03-04 |
| Find all providers in zip 06790 | ||||
| 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 |
|---|---|---|---|---|
| 1174664403 | Thomas C. Mckeon | Dentist | 1 Torrington Office Plz, Suite 103, Torrington, CT 06790-3854 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951350 | Connecticut Oral Surgery and Implant Center, Pllc | Dentist | 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 | 2020-01-14 |
| 1952898025 | Premier Oral Surgery and Implantology Center LLC | Dentist | 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 | 2018-04-15 |
| 1629595145 | Gary Fishbein Dmd LLC | Dentist | 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 | 2017-08-25 |
| 1912428160 | Gm Surgical Associates LLC | Dentist | 130 New London Tpke Ste 3, Norwich, CT 06360-2624 | 2017-06-28 |
| 1861920068 | Mofs-ct Oral Facial Surgery LLC | Dentist | 1 Boulder Ave, Old Greenwich, CT 06870-1420 | 2017-06-01 |
| 1881034262 | Christy Lottinger | Dentist | 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 | 2013-06-28 |
| 1558618025 | Priceless Dental Care P.C. | Dentist | 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 | 2012-08-14 |
| 1477840270 | Imanuel Babayev | Dentist | 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 | 2011-06-30 |
| 1629364997 | New London Dental Care, LLC | Dentist | 258 S Frontage Rd, New London, CT 06320-2641 | 2011-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| Find all providers with the same taxonomy | ||||
| City | TORRINGTON |
| Zip Code | 06790 |
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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.