PROFESSIONAL DENTAL ALLIANCE OF MILFORD, PLLC (NPI# 1134610660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134610660 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL ALLIANCE OF MILFORD, PLLC |
| Other Organization Name | LIFE LONG DENTAL CARE OF MILFORD |
| Practice Address |
42 Cherry St Milford CT 06460-3413 |
| Mailing Address |
11 S Mill St Ste 200 New Castle PA 16101-3680 |
| Practice Telephone | 2038784757 |
| Mailing Telephone | 7246982500 |
| Mailing Fax Number | 7246524619 |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2018-05-21 |
| Authorized Official Name | ANDREW MATTA (CMO/OWNER) |
| Authorized Official Telephone | 7246982500 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Life Long Dental Care of Milford | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | PROFESSIONAL DENTAL ALLIANCE OF MILFORD, PLLC | 11 South Mill Street, Suite 200, New Castle, PA 16101 |
| Street Address |
42 CHERRY ST |
| City | MILFORD |
| State | CT |
| Zip Code | 06460-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487132320 | Richard C Lee | Dentist | 42 Cherry St, Milford, CT 06460-3413 | 2018-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326678616 | Tracy Southworth | Social Worker | 4 Oxford Road, Suite B-6, Milford Ct, CT 06460 | 2020-01-25 |
| 1598301707 | Mahboob Ur Rehman | Pharmacist | 1082 Boston Post Road, Milford, CT 06460 | 2019-11-22 |
| 1750800223 | Caitlin E Kingston | Counselor | 48 Argyle Rd, Milford, CT 06460 | 2017-09-15 |
| 1912437609 | Vanessa Elizabeth Kellas | Counselor | 949 Bridgport Ave, Milford, CT 06460 | 2017-06-14 |
| 1548634454 | Rian Degroat | Case Manager/Care Coordinator | 949-941 Bridgeport Ave, Milford, CT 06460 | 2015-11-17 |
| 1619354446 | Stephanie Meoli | Occupational Therapist | 195 Platt Street, Milford, CT 06460 | 2015-04-30 |
| 1588069298 | Elizabeth Laliberte | Counselor | 37 Bridgeport Ave, 2nd Floor, Milford, CT 06460 | 2014-10-24 |
| 1366869851 | Chamonix Sikora | Speech-Language Pathologist | 8b Church Street South, Westport, CT 06460 | 2014-03-24 |
| 1528404688 | Alexandra Garces | Nutritionist | 150 New Haven Avenue, Milford, CT 06460 | 2013-05-16 |
| 1598100869 | Seabright Cardiovascular Center, LLC | Internal Medicine | 353 Bridgeport Ave, Milford, CT 06460 | 2013-05-01 |
| Find all providers in zip 06460 | ||||
| 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 |
|---|---|---|---|---|
| 1629675020 | Superior Family Dental | Dentist | 425 W Huron St Ste 140, Milford, MI 48381-2243 | 2020-10-08 |
| 1972137784 | Precision Smiles Inc. | Dentist | 28 Asylum St Unit 4f1, Milford, MA 01757-1266 | 2020-03-02 |
| 1811554116 | Madeline Leigh Niziak | Dentist | 21 Main St Fl 2, Milford, MA 01757-2634 | 2019-05-22 |
| 1982181392 | Neelam Jadeja | Dentist | 5976 Meijer Dr # 110b, Milford, OH 45150-2191 | 2018-07-27 |
| 1396234654 | Milford Dental Pllc | Dentist | 21 Main St Ste 102, Milford, MA 01757-2637 | 2018-05-02 |
| 1225587959 | Milford Family Dentistry, Plc | Dentist | 402 Union St, Milford, MI 48381-1967 | 2016-09-22 |
| 1295115343 | Cincinnati Dental Services | Dentist | 5976 Meijer Dr, Suite 110b, Milford, OH 45150-2191 | 2015-06-04 |
| 1689081903 | The New Global Dentistry, Plc | Dentist | 1201 N Milford Rd, Milford, MI 48381-1070 | 2014-07-18 |
| 1982909230 | William Leighton Lord Jr. | Dentist | 909 North Du Pont Boulevard, Milford, DE 19963 | 2011-01-18 |
| 1316257694 | Jeffery David Spahr | Dentist | 112 South B Street, Milford, NE 68405-9332 | 2010-10-20 |
| Find all providers in MILFORD | ||||
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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.