DR. BRUCE R SOFFERMAN (NPI# 1093868986) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093868986 |
| Entity Type | Individual |
| Full Name | DR. BRUCE R SOFFERMAN |
| Credential | DDS |
| Practice Address |
61 Elizabeth St Derby CT 06418-1825 |
| Practice Telephone | 2037341626 |
| Practice Fax Number | 2037360387 |
| Mailing Telephone | 2037341626 |
| Mailing Fax Number | 2037360387 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 6154 | CT | Dental Providers |
| Street Address |
61 ELIZABETH ST |
| City | DERBY |
| State | CT |
| Zip Code | 06418-1825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568501427 | John Crocamo | Dentist | 61 Elizabeth St, Derby, CT 06418-1825 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942839105 | Fnu Prinkiya | Student in an Organized Health Care Education/Training Program | Griffin Hospital. 130 Division St, Derby, CT 06418 | 2020-04-08 |
| 1942837935 | Ivanshi A Gondalia | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St, Derby, CT 06418 | 2020-03-27 |
| 1972168094 | Pir Saad | Student in an Organized Health Care Education/Training Program | C/o Margie Bliga, Department of Medical Education, Griffin Hospital, 130 Division St, Derby, CT 06418 | 2019-05-03 |
| 1295398899 | Ahtsham Yousaf Chaudhary | Student in an Organized Health Care Education/Training Program | 130 Division St, Griffin Hospital, Derby, CT 06418 | 2019-04-18 |
| 1477016376 | Rabia Usman | Student in an Organized Health Care Education/Training Program | 130 Division St. Griffin Hospital, Derby, CT 06418 | 2019-04-09 |
| 1932661428 | Meshal Qaiser | Student in an Organized Health Care Education/Training Program | 130 Division Street Griffin Hospital, Derby, CT 06418 | 2019-04-03 |
| 1275027666 | Victoria Anne Hodge Enquist | Social Worker | 241 Seymour Avenue, Griffin Hospital Iop, Seymour, CT 06418 | 2018-06-19 |
| 1811485758 | Nimeshayan Varatharajah | Student in an Organized Health Care Education/Training Program | Griffin Hospital, 130 Division St., Derby, CT 06418 | 2018-04-26 |
| 1851889836 | Pete Prashamsa Shenoy | Student in an Organized Health Care Education/Training Program | Griffin Hospital (dpt of Graduate Medical Education), 130 Division St., Derby, CT 06418 | 2018-04-25 |
| 1639696594 | Samantha Leigh Bassett | Counselor | 90 Sodom Lane, Derby, CT 06418 | 2017-08-23 |
| Find all providers in zip 06418 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485794 | Derby Modern Dentistry, Pa | Dentist | 2006 N Rock Rd Ste 300, Derby, KS 67037-3752 | 2019-03-04 |
| 1063888246 | Cody Gunnell | Dentist | 1120 N Rock Rd Ste 100, Derby, KS 67037-3587 | 2015-08-11 |
| 1477600013 | J Douglas Schumer | Dentist | 6878 Erie Road, Suite 5, Derby, NY 14047-9508 | 2007-01-05 |
| 1669547576 | Dennis E. Leblanc, D.d.s. | Dentist | 296 Main St., Derby, VT 05829 | 2006-11-24 |
| 1588644801 | Michael David Burlakoff | Dentist | 124 E Emma St, Derby, KS 67037-1617 | 2006-01-20 |
| 1669086575 | Longqian Wang | Dentist | 49 Pershing Dr, Derby, CT 06418-1406 | 2020-09-08 |
| 1265065635 | Sujan Rijal | Dentist | 1700 E James St, Derby, KS 67037-3543 | 2020-02-13 |
| 1124479662 | Brandon Vanasse | Dentist | 296 Main Street, Derby, VT 05829 | 2016-06-27 |
| 1396149183 | Brent E. Nelsen Dmd, LLC | Dentist | 1120 N Rock Rd, Derby, KS 67037-3584 | 2014-10-22 |
| 1619393972 | Carrie Anne Gray | Dentist | 69 Elizabeth St, Derby, CT 06418-1825 | 2014-03-11 |
| Find all providers in DERBY | ||||
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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.