DR. JACK A. BYNES (NPI# 1104830082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104830082 |
| Entity Type | Individual |
| Full Name | DR. JACK A. BYNES |
| Credential | D.M.D. |
| Practice Address |
2991 South St Coventry CT 06238-1524 |
| Practice Telephone | 8607426665 |
| Practice Fax Number | 8607427984 |
| Mailing Telephone | 8607426665 |
| Mailing Fax Number | 8607427984 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3981 | CT | Dental Providers |
| Street Address |
2991 SOUTH ST |
| City | COVENTRY |
| State | CT |
| Zip Code | 06238-1524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023624855 | Annika Simmons | Behavioral Analyst | 878 Silver Street, Coventry, Ct, Usa, Coventry, CT 06238 | 2020-09-17 |
| 1932201308 | Paul Ilario Szwez | Chiropractor | 28 Lake St., Coventry, CT 06238 | 2006-09-05 |
| 1306879242 | Richard A St. Dennis | Physician Assistant | 3514 Main Street, Coventry, CT 06238 | 2006-07-07 |
| 1871071423 | Chastity J. Pimental Lcsw, Pllc | Social Worker | 1153 Main St, Coventry, CT 06238 | 2018-08-04 |
| 1881726123 | Daniel M Mclennon | Dentist | 16 Lake St., Coventry, CT 06238-0327 | 2007-03-12 |
| 1568686970 | Jennifer Therian | Counselor | 32 Church Lane, Coventry, CT 06238-0749 | 2007-04-13 |
| 1821332115 | Jenifer L Gietek | Social Worker | 21 Bread and Milk St Fl 1, Coventry, CT 06238-1012 | 2012-11-27 |
| 1144531989 | Barbara Forstberg Lcsw LLC | Community/Behavioral Health | 21 Bread and Milk St, Coventry, CT 06238-1012 | 2010-06-26 |
| 1396007043 | Julie Lynn Ingenohl | Marriage & Family Therapist | 58 Zeya Dr, Coventry, CT 06238-1035 | 2012-06-08 |
| 1407888332 | Krista A Catalan | Physical Therapist | 1683 Boston Tpke, Coventry, CT 06238-1105 | 2006-07-07 |
| Find all providers in zip 06238 | ||||
| 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 |
|---|---|---|---|---|
| 1912481797 | Andrianna Edwards | Dentist | 57 Lorraine Ave, Coventry, RI 02816-6368 | 2018-09-18 |
| 1881726123 | Daniel M Mclennon | Dentist | 16 Lake St., Coventry, CT 06238-0327 | 2007-03-12 |
| 1851441083 | Dmitry Z Gelfand | Dentist | 903 Tiogue Avenue, Coventry, RI 02816 | 2007-01-11 |
| 1689159006 | Arya Amol Pathak | Dentist | 191 Macarthur Blvd, Coventry, RI 02816-7244 | 2018-10-02 |
| 1932528866 | Bashar A Shehadeh | Dentist | 121 Sandy Bottom Rd, Coventry, RI 02816-5865 | 2014-04-08 |
| 1063498525 | Jamie Michele Italiane-decubellis | Dentist | 325 S Main St, Coventry, RI 02816-5911 | 2005-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059378 | Kainat Naeem | Dentist | 70 Pease Ave, Southport, CT 06890-1110 | 2020-10-04 |
| 1306452479 | Robert James Wollschlager | Dentist | 495 Route 184 Ste 312, Groton, CT 06340-6230 | 2020-09-23 |
| 1699392134 | David Powers | Dentist | 2955 Main St Ste 400, Glastonbury, CT 06033-1028 | 2020-07-01 |
| 1730719279 | Bartley Dentistry | Dentist | 697 Poquonock Ave., Windsor, CT 06095-2259 | 2020-01-23 |
| 1295374296 | The Smile Studio At Bushnell Park | Dentist | 1 Gold St Ste Q, Hartford, CT 06103-2914 | 2019-12-23 |
| 1558904987 | Baybrook Dental | Dentist | 4 Ocean Ave # 2, West Haven, CT 06516-7048 | 2019-10-17 |
| 1083256226 | Connecticut Dental Professionals, P.C. | Dentist | 276 Oxford Rd Ste 2, Oxford, CT 06478-1956 | 2019-10-09 |
| 1962050765 | Sasha Drexler Dentistry Pllc | Dentist | 1305 Post Rd Ste 200, Fairfield, CT 06824-6016 | 2019-08-27 |
| 1649827981 | Caitlin Rose Berwick | Dentist | 251 Long Ridge Rd, Stamford, CT 06902-1640 | 2019-08-21 |
| 1801441902 | Fairfield Dental Associates PC | Dentist | 1979 Post Rd, Fairfield, CT 06824-5723 | 2019-08-06 |
| 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.