DR. PAUL WALTER PONICHTERA (NPI# 1124163704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124163704 |
| Entity Type | Individual |
| Full Name | DR. PAUL WALTER PONICHTERA |
| Credential | DMD |
| Practice Address |
25 High St Milton MA 02186-3426 |
| Mailing Address |
Box 870061 Milton MA 02187-0061 |
| Practice Telephone | 6176964300 |
| Mailing Telephone | 6176964300 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11595 | MA | Dental Providers |
| Street Address |
25 HIGH ST |
| City | MILTON |
| State | MA |
| Zip Code | 02186-3426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258531 | Beacon Dental Health PC | Clinic/Center | 25 High St, Milton, MA 02186-3426 | 2020-09-04 |
| 1548755481 | Andrew Ian Brodsky | Dentist | 25 High St, Milton, MA 02186-3426 | 2018-06-23 |
| 1073867529 | Paul A. Fugazzotto,dds, PC | Dentist | 25 High St, Suite 103, Milton, MA 02186-3426 | 2012-11-06 |
| 1720367022 | Anya Rost | Dentist | 25 High St, Milton, MA 02186-3426 | 2011-08-04 |
| 1235254681 | Paul Anthony Fugazzotto | Dentist | 25 High St, Suite 103, Milton, MA 02186-3426 | 2007-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072296 | Diane M Ferrari | Social Worker | Milton Residents Fund, 535 Canton Ave., Milton, MA 02186 | 2018-11-15 |
| 1013407626 | Cornelius F. Kiley | Psychologist | 414 Adams Street, Milton, MA 02186 | 2018-05-18 |
| 1962929323 | Blake O'donnell | Social Worker | 597 Randolph Ave, Milton, MA 02186 | 2017-08-27 |
| 1144679564 | Milton Hc Operating LLC | Skilled Nursing Facility | 1200 Brush Hill Road, Milton, MA 02186 | 2016-06-07 |
| 1407096928 | Deborah Lavennia Milton | Counselor | 394 Truman Highway, Milton, MA 02186 | 2009-02-24 |
| 1497940548 | Susan Taylor | Psychologist | 1164 Truman Hwy, Milton, MA 02186 | 2007-09-12 |
| 1023137296 | Dolores Ann Shea | Counselor | 51 Bartons Lane, Milton, MA 02186 | 2007-03-28 |
| 1215052360 | Ilene Cloutier | Occupational Therapy Assistant | 1200 Brushhill Rd, Milton, MA 02186 | 2007-03-20 |
| 1730216151 | David Joseph Purcell | Emergency Medicine | 92 Higland St, Milton Hospital, Milton, MA 02186 | 2007-02-27 |
| 1619035250 | Gregg Raymond Melfi | Dentist | 480 Adams Street, Suite 104, Milton, MA 02186 | 2006-12-05 |
| Find all providers in zip 02186 | ||||
| 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 |
|---|---|---|---|---|
| 1487271094 | Patrick Mclaughlin | Dentist | 26 Quail Hollow Dr, Milton, VT 05468-3578 | 2020-06-30 |
| 1326417569 | Seaport Dental Associates, LLC | Dentist | 588 Randolph Ave, Milton, MA 02186-4524 | 2015-09-17 |
| 1053797332 | Joshua Freitag | Dentist | 585 Hickory Mill Ln, Milton, GA 30004-4407 | 2015-08-10 |
| 1205236122 | Olga Krasnoslobodtseva | Dentist | 398 Blue Hills Pkwy, Milton, MA 02186-2738 | 2014-08-27 |
| 1578988697 | Heartland Dental Care of Georgia, P.C. | Dentist | 12988 Georgia Highway 9, Milton, GA 30004 | 2014-02-26 |
| 1427493378 | Florida Dental, Pa | Dentist | 4873 Highway 90 Ste A, Milton, FL 32571-1401 | 2013-05-06 |
| 1205196870 | Milton Pediatric Dentistry and Orthodontics Corp | Dentist | 980 Birmingham Rd Ste 507, Milton, GA 30004-4418 | 2012-05-17 |
| 1629385273 | Sylvia M Riley | Dentist | 12765 Morningpark Cir, Milton, GA 30004-7328 | 2010-09-02 |
| 1023337094 | Justin Weitseng Chong | Dentist | 13075 Highway 9 N Ste 110, Milton, GA 30004-5147 | 2010-05-28 |
| 1073835195 | Ken M. Shou Dds Inc | Dentist | 900 Meridian E Ste 27, Ste.27, Milton, WA 98354-7003 | 2010-02-16 |
| Find all providers in MILTON | ||||
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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.