ZELMANOW DENTAL LLC (NPI# 1083244602) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083244602 |
| Entity Type | Organization |
| Organization Name | ZELMANOW DENTAL LLC |
| Practice Address |
319 Flanders Rd East Lyme CT 06333-1711 |
| Practice Telephone | 8607396915 |
| Practice Fax Number | 8607394908 |
| Mailing Telephone | 8607396915 |
| Mailing Fax Number | 8607394908 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Authorized Official Name | FAITH GASKINS (DIRECTOR OF CREDENTIALING) |
| Authorized Official Telephone | 9728693789 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Zelmanow Dental | Doing Business As Name - Organization |
| Street Address |
319 FLANDERS RD |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333-1711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053337519 | Phillip Stephen Zelmanow | Dentist | 319 Flanders Rd, East Lyme, CT 06333-1711 | 2006-07-15 |
| 1174549646 | Samanth Lee Zelmanow | Dentist | 319 Flanders Rd, East Lyme, CT 06333-1711 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575541 | Alaina Anne King | Counselor | 315 Flanders Rd Ste A, East Lyme, CT 06333 | 2018-04-17 |
| 1477861391 | Hong Qi | Acupuncturist | 26 Sandpiper Lane, East Lyme, CT 06333 | 2010-09-14 |
| 1124164777 | Maureen Lynn Spitzer | Psychiatry & Neurology | 15 Chesterfield Road, Suite 212, East Lyme, CT 06333 | 2007-01-30 |
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1164534384 | Kim Shepardson Watson | Social Worker | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-01 |
| 1033125323 | James Anthony Dyer | Dentist | 131 Boston Post Road, East Lyme, CT 06333 | 2006-07-31 |
| 1467484337 | Stop and Shop Supermarket Co LLC | Pharmacy | 248 Flanders Road, East Lyme, CT 06333 | 2006-07-07 |
| 1902849839 | Carol A Thompson | Marriage & Family Therapist | 29 Chesterfield Road, East Lyme, CT 06333 | 2006-06-14 |
| 1629452156 | Amie Frederick | Physician Assistant | 305 Flanders Rd, East Lyme, CT 06333 | 2015-07-15 |
| Find all providers in zip 06333 | ||||
| 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 |
|---|---|---|---|---|
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1699783753 | Arnold Emery Benak Jr. | Dentist | 317 Flanders Rd, Suites 204-205, East Lyme, CT 06333-1711 | 2006-08-04 |
| 1053337519 | Phillip Stephen Zelmanow | Dentist | 319 Flanders Rd, East Lyme, CT 06333-1711 | 2006-07-15 |
| 1396390951 | Resolute Flanders LLC | Dentist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2019-08-09 |
| 1568674331 | Advantage Dental Group, LLC | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333 | 2007-05-04 |
| 1629299896 | Sajjad A Khan | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333 | 2007-05-02 |
| 1437271533 | Archana Karanki | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333-1700 | 2007-04-06 |
| 1487774972 | James Edward Robson | Dentist | 15 Chesterfield Rd, Suite 208, East Lyme, CT 06333-1730 | 2007-03-30 |
| 1558447458 | John W Stahl | Dentist | 317 Flanders Rd, East Lyme, CT 06333-1711 | 2006-10-31 |
| Find all providers in EAST LYME | ||||
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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.