DR. DENNIS KARL PEZZOLESI JR. (NPI# 1275689119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275689119 |
| Entity Type | Individual |
| Full Name | DR. DENNIS KARL PEZZOLESI JR. |
| Credential | D.M.D. |
| Practice Address |
39 Webster Square Rd Berlin CT 06037-2326 |
| Mailing Address |
213 Scarborough Ln Middletown CT 06457-7546 |
| Practice Telephone | 8608283933 |
| Practice Fax Number | 8608281610 |
| Mailing Telephone | 8603461473 |
| Mailing Fax Number | 8608281610 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
007247 | CT | Dental Providers |
| Street Address |
39 WEBSTER SQUARE RD |
| City | BERLIN |
| State | CT |
| Zip Code | 06037-2326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154975068 | Nataliia Lysa | Dentist | 39 Webster Square Rd, Berlin, CT 06037-2326 | 2019-07-29 |
| 1831219021 | Advanced Dental of New England LLC | Durable Medical Equipment & Medical Supplies | 39 Webster Square Rd, Berlin, CT 06037-2326 | 2007-03-30 |
| 1033265970 | Michael Maroon | Dentist | 39 Webster Square Rd, Berlin, CT 06037-2326 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417517418 | Arthur E Roy | Specialist/Technologist | 95 Winchell Dr, Kensington, CT 06037 | 2019-06-20 |
| 1811483498 | Michelle E Lipka | Dietitian, Registered | Pronatural Physicians, 120 Webster Square Rd, Berlin, CT 06037 | 2018-07-06 |
| 1659810539 | Allison Arel Jerolmon | Behavioral Analyst | 68 Hart Street, Berlin, CT 06037 | 2017-02-13 |
| 1851738280 | Michelle Amenta | Speech-Language Pathologist | 95 S Ridge Ln, Berlin, CT 06037 | 2013-05-24 |
| 1881939452 | Martin Dacunha | Social Worker | 38 Smith St, Bldg 804, Niantic, CT 06037 | 2012-12-07 |
| 1194083667 | Stanley Peter Filewicz Jr. | Orthopaedic Surgery | 1224 Farmington Ave., Unit A, Berlin, CT 06037 | 2012-05-02 |
| 1710269519 | Marie Wallace | Speech-Language Pathologist | 077 Worthington Point Road, Berlin, CT 06037 | 2011-09-16 |
| 1164730032 | Bozena Maria Padykula | Nurse Practitioner | 87 South Slope Drive, Kensington, CT 06037 | 2010-09-14 |
| 1326288655 | Jill Foley | Acupuncturist | 355 New Britain Rd., Kensington, CT 06037 | 2009-02-26 |
| 1194985457 | Bowers Health Care Facilities Inc | Custodial Care Facility | 316 Berlin Street, Berlin, CT 06037 | 2008-06-11 |
| Find all providers in zip 06037 | ||||
| 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 |
|---|---|---|---|---|
| 1942511563 | Corey Lee Smith | Dentist | 11204 Racetrack Rd Ste 102, Berlin, MD 21811 | 2010-06-29 |
| 1215152921 | Michael John Depalma Sr. | Dentist | 500 Franklin Avenue, Unit 3, Berlin, MD 21811 | 2007-04-16 |
| 1861510653 | Gerard Frederick Ott | Dentist | 1 Pitts St, Berlin, MD 21811-1127 | 2007-03-27 |
| 1487791141 | David Harry Schiff | Dentist | 11200 Racetrack Rd Ste A103, Berlin, MD 21811-3809 | 2007-01-31 |
| 1417037276 | Steven Michael Hall | Dentist | 9928 Old Ocean City Blvd, Suite 12, Berlin, MD 21811-1122 | 2006-10-16 |
| 1992890230 | Ajay Soni | Dentist | 68 S White Horse Pike, Berlin, NJ 08009-2324 | 2006-10-03 |
| 1790884443 | Richard Joseph Gawarzewski | Dentist | 3 Harker Avenue, Suite E, Berlin, NJ 08009-2300 | 2006-09-21 |
| 1043314677 | William Harold Hastreiter | Dentist | 102 W Huron St, Berlin, WI 54923 | 2006-09-12 |
| 1184731986 | Kevin C Yoder | Dentist | 4913 West Main St., Berlin, OH 44610 | 2006-08-25 |
| 1912939356 | Robert A. Leonetti | Dentist | 7 Harker Ave, Suite One, Berlin, NJ 08009-2331 | 2006-07-07 |
| Find all providers in BERLIN | ||||
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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.