LISA ST.BERNARD (NPI# 1275166712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275166712 |
Entity Type | Individual |
Full Name | LISA ST.BERNARD |
Credential | DMD |
Practice Address |
697 Poquonock Ave. Windsor CT 06095 |
Mailing Address |
28 Brighton Dr East Granby CT 06026-9423 |
Practice Telephone | 8607512470 |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-02-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
12675 | CT | Dental Providers |
Street Address |
697 POQUONOCK AVE. |
City | WINDSOR |
State | CT |
Zip Code | 06095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730719279 | Bartley Dentistry | Dentist | 697 Poquonock Ave., Windsor, CT 06095-2259 | 2020-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
1457737454 | Eric Han | Dentist | 697 Poquonock Ave, Windsor, CT 06095 | 2015-08-03 |
1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
Find all providers in zip 06095 |
Taxonomy Code | 1223P0700X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Prosthodontics |
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114061967 | Patrick Winter Seely | Dentist | 9025 Old Redwood Hwy Ste A, Windsor, CA 95492-8881 | 2007-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063802221 | Benjanin M Frank | Dentist | 105 A Newton Road, Suite 4, Danbury, CT 06810-1603 | 2015-01-27 |
1801133293 | Ajay Kumar Dhingra | Dentist | 263 Farmington Ave Rm L6053, Farmington, CT 06030-1615 | 2013-01-06 |
1093085144 | Joel M Leon | Dentist | 138 Milbank Ave, Greenwich, CT 06830-6626 | 2012-01-06 |
1477751758 | Guillermo Zapata | Dentist | 25 Glenbrook Rd, Apt. 534, Stamford, CT 06902-2871 | 2007-07-06 |
1366651663 | Gary Edward Horblitt | Dentist | 2226 Black Rock Tpke, Fairfield, CT 06825 | 2007-05-22 |
1831304930 | Andrew Joseph Ponichtera | Dentist | 373 Hopmeadow St, Weatogue, CT 06089-9717 | 2007-05-11 |
1326268020 | Ervin Braun | Dentist | 24 Old Kings Hwy S, Darien, CT 06820-4537 | 2007-04-26 |
1447479233 | Dimitri Perdikis | Dentist | 820 Farmington Ave, West Hartford, CT 06119-1506 | 2007-04-24 |
1699822155 | Diane Elizabeth Gawronski | Dentist | 14 Westbrook Rd, Centerbrook, CT 06409 | 2007-01-05 |
1346305802 | Thomas D. Taylor | Dentist | Uconn Health Ctr, 263 Farmington Avenue, Mc-3915, Farmington, CT 06030-3915 | 2006-12-26 |
Find all providers with the same taxonomy |
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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.