DR. DHARA SHAH (NPI# 1124457924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124457924 |
| Entity Type | Individual |
| Full Name | DR. DHARA SHAH |
| Credential | D.M.D |
| Practice Address |
202 Pomfret St Putnam CT 06260-1833 |
| Mailing Address |
40 Mansfield Ave Willimantic CT 06226-2018 |
| Practice Telephone | 8609637917 |
| Practice Fax Number | 8609630015 |
| Mailing Telephone | 8604507471 |
| Mailing Fax Number | 8604509808 |
| Enumeration Date | 2013-11-02 |
| Last Update Date | 2014-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 016.0099598 | VT | Dental Providers |
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11232 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497264220 | Dhara Shah | Counselor | 110 N Ocean Ave Ste B, Patchogue, NY 11772-2015 | 2017-09-25 |
| 1306247366 | Dhara Shah | Pharmacist | 58 Hazelton St, Ridgefield Park, NJ 07660-1142 | 2014-09-09 |
| 1134409402 | Dhara K Shah | Dentist | 7 Cedar Grove Ln Ste 33, Somerset, NJ 08873-1331 | 2011-08-18 |
| 1225194905 | Dhara Shah | Specialist | 8942 15th Ave, Brooklyn, NY 11228-3902 | 2006-12-28 |
| 1467527275 | Dhara P Shah | Physical Therapist | 101 Forbes Dr, Hopkinsville, KY 42240-7200 | 2006-11-21 |
| 1245850221 | Dhara B Shah | Student in an Organized Health Care Education/Training Program | 2601 Ocean Pkwy, Brooklyn, NY 11235-7745 | 2020-04-20 |
| 1114553484 | Dhara Shah | Pharmacist | 300 Longwood Ave, Department of Pharmacy, Boston, MA 02115 | 2020-03-19 |
| 1063916021 | Dhara K. Shah | Student in an Organized Health Care Education/Training Program | 720 W Oak St Ste 201, Kissimmee, FL 34741-4998 | 2018-03-22 |
| 1942734496 | Dhara Shah | Pharmacist | 99 Greenwich Ave, Greenwich, CT 06830-5511 | 2017-04-11 |
| 1669927240 | Dhara Shah | Dentist | 201 Route 17, 12th Floor, Rutherford, NJ 07070-2574 | 2016-08-24 |
| Street Address |
202 POMFRET ST |
| City | PUTNAM |
| State | CT |
| Zip Code | 06260-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710957519 | Joe Moreno | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2006-01-24 |
| 1295290245 | Stephanie Lynn | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2019-02-04 |
| 1629552211 | Terry Ann Holybee | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2018-09-19 |
| 1891208039 | Willa M Thompson | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2017-11-09 |
| 1609394584 | Cristine Donaruma | Registered Nurse | 202 Pomfret St, Putnam, CT 06260 | 2017-08-31 |
| 1124566021 | Shilpa Kapoor | Dentist | 202 Pomfret St, Putnam, CT 06260-1833 | 2017-02-10 |
| 1730636408 | Carina Holmgren | Nurse Practitioner | 202 Pomfret St, Putnam, CT 06260-1833 | 2016-09-09 |
| 1609240787 | Emma E Miller | Counselor | 202 Pomfret St, Putnam, CT 06260 | 2015-11-30 |
| 1093190241 | Brittany Davis | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2015-07-29 |
| 1730583477 | Ashley Lewis | Dental Hygienist | 202 Pomfret St, Putnam, CT 06260-1833 | 2014-10-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838139 | Shayna Marie Robinson | Behavior Technician | 62 Providence Pike Suite E, Putnam, CT 06260 | 2020-07-06 |
| 1649896390 | Bethany Barrette | Behavior Technician | 682 Providence Pike Suite E, Putnam, CT 06260 | 2020-06-18 |
| 1902450448 | Jillian Bellman | Registered Nurse | 391 Pomfret Street, Putnam, CT 06260 | 2019-08-01 |
| 1285297390 | Jourhana Colon | Behavior Technician | 62 Providence Pike Ste E, Putnam, CT 06260 | 2019-04-16 |
| 1457839417 | Amplisound, Inc. | Hearing Instrument Specialist | 19 Quinebaug Avenue, Putnam, CT 06260 | 2018-08-01 |
| 1184095960 | Lori Bergeron | Counselor | 391 Pomret Street, Putnam, CT 06260 | 2015-10-19 |
| 1558619957 | Merinessa Macayaon Quintilla | Physical Therapist | 10 Thurber Road, Genesis - Matulaitis Nursing Home, Putnam, CT 06260 | 2012-08-16 |
| 1235496936 | Mohsin Haseeb | Internal Medicine | Day Kimball Hospital, 320 Pomfret Street, Putnam, CT 06260 | 2012-04-18 |
| 1588932529 | Lifehouse Community Care, LLC | Home Health | 554 Liberty Highway Unit 2, Putnam, CT 06260 | 2011-12-05 |
| 1942433032 | Connecticut Cvs Pharmacy, LLC | Durable Medical Equipment & Medical Supplies | 57 Providence Pike, Putnam, CT 06260 | 2009-08-24 |
| Find all providers in zip 06260 | ||||
| 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 |
|---|---|---|---|---|
| 1376754564 | Putnam Family Dental PC | Dentist | 233 Pomfret St, Putnam, CT 06260-1835 | 2007-05-27 |
| 1639219140 | Northeast Connecticut Dental Associates, Inc. | Dentist | 227 Pomfret St, Putnam, CT 06260-1835 | 2007-02-07 |
| 1336234608 | Eleni Milas | Dentist | 153 Grove St, Putnam, CT 06260 | 2006-10-04 |
| 1528064003 | Stephen A Solomon | Dentist | 189 Kennedy Dr, Putnam, CT 06260-1617 | 2005-06-21 |
| 1497201503 | Nehar Serry | Dentist | 64 Grove St, Putnam, CT 06260-2110 | 2016-08-29 |
| 1649678376 | Ad Dental PC | Dentist | 233 Pomfret St, Putnam, CT 06260-1835 | 2014-12-11 |
| 1699183244 | Tanvi Kapadia | Dentist | 202 Pomfret St, Putnam, CT 06260-1833 | 2014-07-28 |
| 1386084275 | Fnu Rabinder Kaur | Dentist | 202 Pomfret St, Putnam, CT 06260-1833 | 2013-06-25 |
| 1154681948 | Putnam Family Dental | Dentist | 233 Pomfret St, Putnam, CT 06260-1835 | 2012-05-25 |
| 1720254964 | Michael Janket | Dentist | 554 Liberty Hwy, Putnam, CT 06260-2728 | 2008-05-07 |
| Find all providers in PUTNAM | ||||
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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.