MOHAMMAD REZA TABATABAI IRANI (NPI# 1336693910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336693910 |
| Entity Type | Individual |
| Full Name | MOHAMMAD REZA TABATABAI IRANI |
| Credential | DDS |
| Practice Address |
446 S Main St New Britain CT 06051-3516 |
| Mailing Address |
475 Main St Apt 2r New York NY 10044-0084 |
| Practice Telephone | 8602250552 |
| Mailing Telephone | 9493003631 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11704 | CT | Dental Providers |
| Street Address |
446 S MAIN ST |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06051-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023519071 | Victor Oraeki | Dentist | 446 S Main St, New Britain, CT 06051-3516 | 2018-02-26 |
| 1770968778 | Shinjae Yoo | Dentist | 446 S Main St, New Britain, CT 06051-3516 | 2015-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956211 | Diligent Service Providers LLC | Non-emergency Medical Transport (VAN) | 110 Austin St, New Britain, CT 06051 | 2019-01-29 |
| 1619440732 | Charter Oak Dental Center Ll LLC | Dentist | 165 East Main Street, New Britain, CT 06051 | 2019-01-11 |
| 1891243200 | Dora Avila | Contractor | 1270 Stanley Street, New Britain, CT 06051 | 2016-09-14 |
| 1972904779 | Jillian Mcnally | Social Worker | 270 John Downey Drive, New Britain, CT 06051 | 2014-09-11 |
| 1174931539 | Human Resources Agency of New Britain, Inc. | Community/Behavioral Health | 83 Whiting Street, New Britain, CT 06051 | 2014-07-30 |
| 1063847127 | Jessica Annette Antunes | Counselor | 55 Wintrop St, New Briain, CT 06051 | 2013-09-09 |
| 1902196991 | John J Widlak | Dentist | 35 Pearl St., New Britain, CT 06051 | 2011-04-12 |
| 1568691178 | Farah I Khan | Dentist | 105 Myrtle Avenue, New Britain, CT 06051 | 2009-07-06 |
| 1619114410 | Patricia Blecich Dobie | Counselor | 321 Ellis Street, Ste 3, Today's Youth, LLC, New Britain, CT 06051 | 2009-01-15 |
| 1669627568 | Claudia Ripinski Janusko | Audiologist | 292 West Main St., Grove Hill Medical Center, New Britain, CT 06051 | 2008-11-20 |
| Find all providers in zip 06051 | ||||
| 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 |
|---|---|---|---|---|
| 1619440732 | Charter Oak Dental Center Ll LLC | Dentist | 165 East Main Street, New Britain, CT 06051 | 2019-01-11 |
| 1285925362 | West Main Dental PC | Dentist | 87 W Main St, West Main Dental PC, New Britain, CT 06051-2216 | 2011-04-25 |
| 1902196991 | John J Widlak | Dentist | 35 Pearl St., New Britain, CT 06051 | 2011-04-12 |
| 1013158484 | Wolcott Street Dental-1, PC | Dentist | 105 Myrtle Street, New Britain, CT 06051-1825 | 2009-03-16 |
| 1255598090 | Edward R Dipaul | Dentist | 433 W Butler Ave, New Britain, PA 18901-5113 | 2008-05-20 |
| 1891914750 | Teresa W Ciechanowski | Dentist | 393 W Main St, New Britain, CT 06052-1329 | 2007-04-25 |
| 1306992417 | Dennis Paul Schweitzer | Dentist | 32 Cedar St, New Britain, CT 06052-1302 | 2007-01-25 |
| 1568522159 | Eric L. Gladstein | Dentist | 70 Vine St, New Britain, CT 06052-1431 | 2006-12-12 |
| 1487669891 | Nancy Kelly Treiber | Dentist | 601 Farmington Ave, New Britain, CT 06053-1943 | 2006-07-31 |
| 1003459140 | Melissa Ceresi Dmd PC | Dentist | 960 Town Ctr, New Britain, PA 18901-5182 | 2019-10-22 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06051 |
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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.