DR. STEPHEN GREGORY ERICKSON (NPI# 1326052713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326052713 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN GREGORY ERICKSON |
| Credential | D.D.S. |
| Practice Address |
599 Main St Manchester CT 06040-5156 |
| Practice Telephone | 8606461535 |
| Practice Fax Number | 8606471849 |
| Mailing Telephone | 8606461535 |
| Mailing Fax Number | 8606471849 |
| Enumeration Date | 2006-07-28 |
| 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 |
5394 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CT MEDICAL ASSISTANCE # | 2053940 | 01 |
| CT | STATE LICENSE # | 5394 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467762005 | Stephen Albert Erickson | Pathology | #3 Natural Resources Drive, Little Rock, AR 72205 | 2010-10-18 |
| 1043420177 | Stephen Erickson | Physical Therapist | 1234 S Birch St, Santa Ana, CA 92707-1204 | 2007-05-24 |
| 1477047975 | Stephen Paul Erickson | Internal Medicine | 615 S New Ballas Rd, Saint Louis, MO 63141-8221 | 2018-06-18 |
| 1235620063 | Stephen Erickson | Student in an Organized Health Care Education/Training Program | 355 W 16th St Ste 4700, Indianapolis, IN 46202-2285 | 2018-05-29 |
| 1134420896 | Stephen Andrew Erickson | Pharmacist | 315 E College Way, Mount Vernon, WA 98273-5431 | 2010-11-11 |
| 1932259587 | Stephen T Erickson | Family Medicine | 1010 Sheridan St, Suite 202, Port Townsend, WA 98368-2901 | 2007-01-12 |
| 1942360581 | Stephen J Erickson | Family Medicine | 4824 Mcmahon Blvd Nw, Suite 115, Albuquerque, NM 87114-5412 | 2006-12-12 |
| 1407834609 | Stephen B Erickson | Internal Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-01-06 |
| Street Address |
599 MAIN ST |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06040-5156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356646962 | Horndmd&cayeddsllc | Dentist | 599 Main St, Manchester, CT 06040-5156 | 2011-01-13 |
| 1053449330 | Stuart Jerome Horn | Dentist | 599 Main St, Manchester, CT 06040-5156 | 2007-03-01 |
| 1194853481 | George Salvatore Caye | Dentist | 599 Main St, Manchester, CT 06040-5156 | 2007-03-01 |
| 1518037522 | Darryl Austin Simms | Dentist | 599 Main St, Manchester, CT 06040-5156 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
| 1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
| 1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
| 1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
| 1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
| 1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
| Find all providers in zip 06040 | ||||
| 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 |
|---|---|---|---|---|
| 1679137228 | Oasis Dental, P.C. | Dentist | 1525 S Willow St Unit 5, Manchester, NH 03103-3209 | 2019-04-30 |
| 1336613330 | Dental Sleep Providers, LLC | Dentist | 945 Main St Ste 303, Manchester, CT 06040-6064 | 2019-01-14 |
| 1396246708 | Kenneth M. Laro Dmd LLC | Dentist | 153 Main St Ste 11, Manchester, CT 06042-3112 | 2018-02-22 |
| 1336654862 | Manchester Dentistry & Implants Pllc | Dentist | 43 Duncan Farms, Manchester, NH 03102-2363 | 2017-12-06 |
| 1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
| 1518344100 | Janiris Ruth Matos | Dentist | 8 Vinton Street, Dental Clinic, Manchester, NH 03103 | 2015-05-03 |
| 1063800399 | Manchester Dental Pllc | Dentist | 26 W Webster St, Manchester, NH 03104-2912 | 2015-01-09 |
| 1205232295 | Allan L Link Dmd & Associates LLC | Dentist | 14335 Manchester Rd, Manchester, MO 63011-4048 | 2014-11-18 |
| 1902219215 | Robert Fromuth | Dentist | 765 S Main St Ste 102, Manchester, NH 03102-5141 | 2014-06-04 |
| 1235474388 | Globus Dental Associates Manchester, PC | Dentist | 1540 Pleasant Valley Rd Ste G, Manchester, CT 06042-8760 | 2012-11-30 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06040 |
Please comment or provide details below to improve the information on DR. STEPHEN GREGORY ERICKSON.
| 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.