MOISES YLDEFONSO SALAS (NPI# 1174512255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174512255 |
| Entity Type | Individual |
| Full Name | MOISES YLDEFONSO SALAS |
| Credential | D.D.S, M.P.H |
| Practice Address |
21 Grand St Hartford CT 06106-1541 |
| Mailing Address |
53 Oak Ridge Ln West Hartford CT 06107-3506 |
| Practice Telephone | 8605507500 |
| Practice Fax Number | 8605507594 |
| Mailing Telephone | 8609859459 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2010-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
009212 | CT | Dental Providers |
| Street Address |
21 GRAND ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06106-1541 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364653 | Jennifer A Colucci | Nurse Practitioner | 21 Grand St, Hartford, CT 06106-1541 | 2005-05-23 |
| 1518583780 | Ludwig V Rosiclair | Pharmacist | 21 Grand St, Hartford, CT 06106-1541 | 2020-06-23 |
| 1235752866 | Philip Jacob Bergen Jr. | Physician Assistant | 21 Grand St, Hartford, CT 06106-1541 | 2020-05-18 |
| 1982243580 | Melissa Richardson | Nurse Practitioner | 21 Grand St, Hartford, CT 06106-1541 | 2019-12-30 |
| 1841838596 | Kristal Velazquez | Midwife | 21 Grand St, Hartford, CT 06106-1541 | 2019-12-12 |
| 1346888237 | Jillian Smith | Advanced Practice Midwife | 21 Grand St, Hartford, CT 06106-1541 | 2019-12-11 |
| 1467002634 | Stephanie Marie Watson | Physician Assistant | 21 Grand St, Hartford, CT 06106-1541 | 2019-09-18 |
| 1598311763 | Joeli Mcquaid-robert | Social Worker | 21 Grand St, Hartford, CT 06106-1541 | 2019-08-14 |
| 1487207718 | Andrea Fachini | Physician Assistant | 21 Grand St, Hartford, CT 06106-1541 | 2019-07-16 |
| 1831758366 | Kelly Ruiz | Physician Assistant | 21 Grand St, Hartford, CT 06106-1541 | 2019-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907325 | Vartika Kesarwani | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-19 |
| 1720602865 | Meher Kaur Singha | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2020-06-04 |
| 1497314140 | Eduardo Mantovani Cardoso | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-06-06 |
| 1114582178 | Dimitrios Drekolias | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-05-06 |
| 1316501687 | Rafae Shaikh | Student in an Organized Health Care Education/Training Program | Hartford Hospital Adult Primary Care Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 | 2019-04-23 |
| 1437643715 | Lucas Bensa | Social Worker | 421 Washington St., Apt C1, Hartford, CT 06106 | 2018-06-19 |
| 1548754310 | Collin Dimler | Physician Assistant | 85 Seymour St Ste 1003, Hartford, CT 06106 | 2018-06-15 |
| 1619460581 | Bryan F Stringer | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave., Hh-adult Primary Care - Brown Stone, Hartford, CT 06106 | 2018-06-14 |
| 1083103972 | Margret Sigurdardottir Blondal | Student in an Organized Health Care Education/Training Program | 282 Washington Street, Ste 4h, Hartford, CT 06106 | 2018-05-07 |
| 1265920995 | Rudra Ramanathan | Student in an Organized Health Care Education/Training Program | 79 Retreat Ave Brown Stone, Hartford, CT 06106 | 2018-04-27 |
| Find all providers in zip 06106 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992862908 | Deborah A. Redford-badwal | Dentist | 282 Washington St Ste 1c, Uconn/ccmc Pediatric Dentistry, Hartford, CT 06106-3322 | 2007-01-02 |
| 1942313721 | Jorge Max Rabat | Dentist | 29 Denison Street, Apt 206, Hartford, CT 06105 | 2006-08-16 |
| 1518256643 | Hartford Cosmetic Dental Center | Dentist | 609 Farmington Ave # Ll2, Hartford, CT 06105-3081 | 2011-03-29 |
| 1871687558 | Leena K Langeland | Dentist | 80 Seymour Street, Hartford Hospital Dental Dept, Hartford, CT 06102 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
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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.