WATERBURY FAMILY DENTISTRY, PLC (NPI# 1275733354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275733354 |
| Entity Type | Organization |
| Organization Name | WATERBURY FAMILY DENTISTRY, PLC |
| Practice Address |
77 S. Main St. Suite 3 Waterbury VT 05676 |
| Practice Telephone | 8022446366 |
| Practice Fax Number | 8022448514 |
| Mailing Telephone | 8022446366 |
| Mailing Fax Number | 8022448514 |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2011-10-11 |
| Authorized Official Name | GARY L. MORRIS (OWNER/DENTIST) |
| Authorized Official Telephone | 8022446366 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
2031 | VT | Dental Providers |
| Y | 122300000X | Dentist | 0160001187 | VT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UT | 1004239 | 05 |
| Street Address |
77 S. MAIN ST. SUITE 3 |
| City | WATERBURY |
| State | VT |
| Zip Code | 05676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282319 | Elia Vecchione | Psychologist | 167 Elias Way, Duxbury, VT 05676 | 2020-10-15 |
| 1437234218 | Thomas A Simpatico | Psychiatry & Neurology | South Main Street, Waterbury, VT 05676 | 2006-10-27 |
| 1952357329 | Shaws Supermarkets Inc | Pharmacy | 820 Waterbury Stowe Rd, Waterbury, VT 05676 | 2006-05-26 |
| 1124093646 | Wendy Dallamura | Nurse Practitioner | 331 Morse Rd, Waterbury, VT 05676 | 2006-02-19 |
| 1144355025 | Gillian Lee Skovron | Social Worker | 89 South Main Street, Waterbury, VT 05676 | 2007-02-22 |
| 1457573545 | The Squier House, Inc. | Custodial Care Facility | 26 Union Street, Waterbury, VT 05676-0000 | 2007-05-02 |
| 1497807069 | Vincents Rexall Drugs Inc | Pharmacy | 80 South Main St, Waterbury, VT 05676-0059 | 2007-01-17 |
| 1942629860 | Maple Hill Residential Care Home | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-08 |
| 1497173470 | David W Anderson | Nursing Facility/Intermediate Care Facility | 26 Union St, Waterbury, VT 05676-1303 | 2014-04-07 |
| 1063553337 | Lini B. Wing-alberghini | Physical Therapist | 137 S Main St, Waterbury, VT 05676-1515 | 2007-02-09 |
| Find all providers in zip 05676 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245037 | Karanbeer Singh Aulakh | Dentist | Smile & Shine Dental, 158 Manor Avenue, Waterbury, CT 06705 | 2018-08-15 |
| 1417407248 | Jaswinder Gulati | Dentist | 939 Wolcott Street Unit 5b, Waterbury, CT 06705 | 2016-10-05 |
| 1952716003 | Roshanak Dezfoolian | Dentist | 714 Chase Pkwy Ste 2a, Waterbury, CT 06708-3163 | 2014-06-27 |
| 1245542620 | Kunal Narottambhai Patel | Dentist | 155 Thomaston Ave # C12, Waterbury, CT 06702-1020 | 2010-07-13 |
| 1689997124 | Waterbury Family Dental P.C. | Dentist | 155 Thomaston Ave, C12, Waterbury, CT 06702-1020 | 2010-03-11 |
| 1376674663 | Kevin Edward Reilly | Dentist | 650 Chase Parkway, Waterbury, CT 06708 | 2007-03-08 |
| 1417018805 | Stanley Deitz | Dentist | 188 Chase Ave, Waterbury, CT 06704-2245 | 2006-12-12 |
| 1811551732 | Navdeep Kaur | Dentist | 188 Chase Ave, Waterbury, CT 06704-2245 | 2019-04-25 |
| 1639555451 | Reidville Dentistry & Implants | Dentist | 464 Reidville Dr, Suite A2, Waterbury, CT 06705-2650 | 2015-08-04 |
| 1013393909 | Srilatha Dosapati | Dentist | 155 Thomaston Ave, Waterbury, CT 06702-1020 | 2015-08-03 |
| Find all providers in WATERBURY | ||||
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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.