ASPEN DENTAL OF SOUTHERN CT, PC (NPI# 1134346992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134346992 |
| Entity Type | Organization |
| Organization Name | ASPEN DENTAL OF SOUTHERN CT, PC |
| Practice Address |
293 Boston Post Rd Orange CT 06477-3520 |
| Mailing Address |
Po Box 3189 Syracuse NY 13220-3189 |
| Practice Telephone | 2037954772 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOO LEE (MCD) |
| Authorized Official Telephone | 3154546000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
293 BOSTON POST RD |
| City | ORANGE |
| State | CT |
| Zip Code | 06477-3520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588871776 | Joo Young Lee | Dentist | 293 Boston Post Rd, Orange, CT 06477-3520 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881207207 | Kevin Cheung | Registered Nurse | 499 West Campus Drive, Orange, CT 06477 | 2020-08-25 |
| 1629539051 | Leah Kragh | Occupational Therapist | 308 Racebrook Road, Unit A, Orange, CT 06477 | 2019-03-28 |
| 1871076315 | Mario Paredes | Physical Therapist | 240 Indian River Rd Ste B7b8, Orange, CT 06477 | 2018-09-11 |
| 1790201499 | Amy Elise Roth | Speech-Language Pathologist | 308 Racebrook Road, Orange, CT 06477 | 2017-08-15 |
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1467838730 | Dr. Margaret Azzarella LLC | Chiropractor | 472 Boston Post Road, Orange, CT 06477 | 2015-08-10 |
| 1790114866 | The Eye Care Group | Eyewear Supplier (Equipment, not the service) | 250 Indian River Road, Orange, CT 06477 | 2013-11-08 |
| 1609111814 | Michael L Crane | Counselor | 426 Taulman Rd, Orange, CT 06477 | 2012-11-29 |
| 1316183726 | Sarah E Halloran | Physician Assistant | 240 Indian River Rd Ste B1, Orange, CT 06477 | 2009-01-07 |
| 1558482075 | Jasdeep Sidana | Internal Medicine | 521 Boston Post Road, Orange, CT 06477 | 2007-04-02 |
| Find all providers in zip 06477 | ||||
| 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 |
|---|---|---|---|---|
| 1740834217 | Matthew Brian Mecheal | Dentist | 725 W. La Veta Suite 260, Orange, CA 92868 | 2019-08-01 |
| 1205497567 | 3cdental Orange Pllc | Dentist | 2228 Macarthur Dr Ste A, Orange, TX 77630-4812 | 2019-06-26 |
| 1508362443 | Parisa Pejmanzadeh Dds Inc. | Dentist | 106 N Mcpherson Rd, Orange, CA 92869-3721 | 2018-03-31 |
| 1386096899 | Orange Dental Care | Dentist | 1122 E Lincoln Ave Ste 104, Orange, CA 92865-1908 | 2016-07-08 |
| 1962879387 | Charles C. Park D.d.s. A Professional Corporation | Dentist | 1518 E. Lincoln Ave., Orange, CA 92865 | 2015-09-02 |
| 1336526136 | Shaowei Chen Dds Family Dentistry LLC | Dentist | 284 Racebrook Rd Ste 1, Orange, CT 06477-3103 | 2015-04-30 |
| 1033506522 | Henry Nguyen Dental Corporation | Dentist | 2393 N Tustin St, A, Orange, CA 92865-3714 | 2015-04-22 |
| 1568802411 | Byron Sejin Kim | Dentist | 3321 E Penzance Ln, Unit D, Orange, CA 92869-2844 | 2013-06-25 |
| 1932548021 | John Nguyen Truong | Dentist | 4238 E Fitzgerald Ave, Orange, CA 92867-2198 | 2013-06-21 |
| 1659710960 | Orange Family Dentistry | Dentist | 1601 E Lincoln Ave Ste 1601, Orange, CA 92865-1957 | 2013-06-19 |
| Find all providers in ORANGE | ||||
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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.