ALLA GORENBEYN (NPI# 1063418234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063418234 |
| Entity Type | Individual |
| Full Name | ALLA GORENBEYN |
| Credential | DMD |
| Practice Address |
20 Hartford Rd Suite 34 Salem CT 06420-3800 |
| Practice Telephone | 8606591341 |
| Mailing Telephone | 8606591341 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
009112 | CT | Dental Providers |
| Street Address |
20 HARTFORD RD SUITE 34 |
| City | SALEM |
| State | CT |
| Zip Code | 06420-3800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447462338 | Joan D Rankowitz | Dental Hygienist | 20 Hartford Rd, Suite 34, Salem, CT 06420-3800 | 2007-05-04 |
| 1417175977 | Michele Lee Sauvageau-krahn | Dental Hygienist | 20 Hartford Rd, Salem, CT 06420-3800 | 2007-04-23 |
| 1922142900 | Roseann Z George | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd, Suite 30, Salem, CT 06420-3800 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265945257 | Molly Giannattasio | Occupational Therapist | 11 Center Street Suite 6, Salem, CT 06420 | 2017-11-13 |
| 1558354902 | Mary Ann S Pudimat | Anesthesiology | 61 Emerald Glen Lane, Salem, CT 06420 | 2005-08-31 |
| 1184648925 | Karen S Williams | Nurse Practitioner | 25 Witch Meadow Rd, Salem, CT 06420-3602 | 2006-07-26 |
| 1114312162 | Nancy Rodgers | Counselor | 147 Way Rd, Salem, CT 06420-3716 | 2015-04-06 |
| 1164410601 | Gardner Lake Volunteer Fire Company | Ambulance | 429 Old Colchester Rd, Salem, CT 06420-3748 | 2005-10-10 |
| 1619228202 | Salem Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2012-09-24 |
| 1982120333 | Salem Pharmacy LLC | Pharmacy | 20 Hartford Rd Ste 16, Salem, CT 06420-3800 | 2017-08-17 |
| 1346763679 | Salem School District | Local Education Agency (LEA) | 200 Hartford Rd, Salem, CT 06420-3804 | 2017-07-19 |
| 1073021481 | David Lloyd Kennedy Jr. | Specialist/Technologist | 330 Round Hill Rd, Salem, CT 06420-3832 | 2018-01-19 |
| 1821261611 | Natasha Makalani Wessner | Pharmacist | 24 Hartford Rd Ste 11, Salem, CT 06420-3839 | 2008-04-11 |
| Find all providers in zip 06420 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811557457 | Chadi Farag | Dentist | 25620 75th Street, Salem, WI 53168 | 2019-06-17 |
| 1528626660 | Stephanie Danielle Gibbons | Dentist | 5 Dawn St, Salem, NH 03079-3231 | 2019-06-04 |
| 1407414642 | Selma Moon Pierce | Dentist | 961 Glen Eden Ct Nw, Salem, OR 97304-2258 | 2019-06-03 |
| 1295392926 | Brock Jesse Nelson | Dentist | 631 Jason St Ne Ste 150, Salem, OR 97301-2750 | 2019-05-29 |
| 1023595899 | Gregory Lee Miller | Dentist | 3405 Derr Park Rd Se, Salem, OR 97310-0001 | 2018-07-25 |
| 1437643616 | Idylwood Dental LLC | Dentist | 4392 Liberty Road, Salem, OR 97302-6171 | 2018-06-20 |
| 1619428281 | William D. Bateman, Dmd, LLC | Dentist | 1995 Commercial St Se Ste 200, Salem, OR 97302-5291 | 2016-10-19 |
| 1134545494 | Caroline Wallace | Dentist | 103 S Colorado St, Salem, VA 24153-3848 | 2014-03-11 |
| 1275960296 | Amy Trevor | Dentist | 1595 Commercial St. Se, Salem, OR 97302 | 2013-10-04 |
| 1558601385 | Crisdental East Salem, LLC | Dentist | 3545 Lancaster Dr Ne, Salem, OR 97305-1435 | 2013-02-14 |
| Find all providers in SALEM | ||||
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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.