BRISTOL CITY HEALTH DEPT DENTAL CLINIC (NPI# 1093891806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093891806 |
| Entity Type | Organization |
| Organization Name | BRISTOL CITY HEALTH DEPT DENTAL CLINIC |
| Practice Address |
205 Piedmont Ave Bristol CT 24201 |
| Practice Telephone | 2766427335 |
| Practice Fax Number | 2766427347 |
| Mailing Telephone | 2766427335 |
| Mailing Fax Number | 2766427347 |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. ANNA H STEVENS (BUSINESS MANAGER) |
| Authorized Official Telephone | 2767817450 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223D0001X |
Dentist Specialization: Dental Public Health |
0401003521 | VA | Dental Providers |
| Street Address |
205 PIEDMONT AVE |
| City | BRISTOL |
| State | CT |
| Zip Code | 24201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457304073 | Catherine C Tilson | Nurse Practitioner | 205 Piedmont Ave, Bristol, VA 24201-4167 | 2006-05-17 |
| 1033153747 | Commonwealth of Virginia State Board of Health | Public Health or Welfare | 205 Piedmont Ave, Bristol, VA 24201 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| Taxonomy Code | 1223D0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dental Public Health |
| The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned with the dental health education of the public, with applied dental research, and with the administration of group dental care programs as well as the prevention and control of dental diseases on a community basis. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669532560 | Washington Co Health Dept Dental Clinic | Dentist | 15068 Lee Highway, Suite 1000, Bristol, VA 24202 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700044542 | Kevin Allan Hall | Dentist | 1841 Broad St, Hartford, CT 06114-1780 | 2008-05-29 |
| 1689695587 | Diana D Hede | Dentist | 860 Main St, Health Srvcs, Hartford, CT 06103 | 2006-07-23 |
| 1225006240 | Michael Ernest Korale | Dentist | Uscg Academy, Health Services Divison, 15 Mohegan Ave, New London, CT 06320-4195 | 2006-03-08 |
| 1548236045 | Charles C Truncale | Dentist | Uscg Academy, Michel Hall, 15 Mohegan Avenue, New London, CT 06030-3906 | 2006-02-24 |
| 1811997893 | Marie C Faynor | Dentist | 42 W Purchase Rd, Southbury, CT 06488-1002 | 2005-07-29 |
| 1952950735 | Lasting Smiles of Saybrook, LLC | Dentist | 670 Boston Post Rd, Old Saybrook, CT 06475-1520 | 2019-09-05 |
| 1811486483 | Jared Jacobskind | Dentist | 238c Tolland Tpke, Manchester, CT 06042-5702 | 2018-05-09 |
| 1376950758 | Mikhail Y Tsesis | Dentist | 202 Pomfret St, Putnam, CT 06260-1833 | 2014-07-17 |
| 1760722201 | Ralph Giuliano | Dentist | 120 Clapboard Ridge Rd, Suite 101, Danbury, CT 06811-3625 | 2013-02-20 |
| 1124387444 | Richard P. Benoit | Dentist | 123 Elm St, Suite # 900, Old Saybrook, CT 06475-4108 | 2012-05-07 |
| Find all providers with the same taxonomy | ||||
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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.