DR. JENNIFER A DIEDERICH


Address: 222 Main St, Pmb 251, Farmington, CT 06032-3623
Phone: 8607519209

DR. JENNIFER A DIEDERICH (NPI# 1356330344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356330344
Entity Type Individual
Full Name DR. JENNIFER A DIEDERICH
Other Name DR. JENNIFER A DIEDERICH
Credential DMD
Practice Address 222 Main St
Pmb 251
Farmington
CT 06032-3623
Mailing Address 222 Main St
#251
Farmington
CT 06032-3623
Practice Telephone 8607519209
Practice Fax Number 8606936309
Mailing Telephone 8604703660
Mailing Fax Number 8604045642
Enumeration Date 2005-10-21
Last Update Date 2015-09-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
007122 CT Dental Providers

Other Providers JENNIFER DIEDERICH

NPI Name Taxonomy Address Enumeration
1649897034 Jennifer Christine Diederich Behavioral Analyst 5868 Baker Rd, Minnetonka, MN 55345-5903 2020-07-01

Office Location

Street Address 222 MAIN ST
PMB 251
City FARMINGTON
State CT
Zip Code 06032-3623

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417200932 Compassion Dental 06032 Clinic/Center 222 Main St, #251, Farmington, CT 06032-3623 2012-10-22
1386800548 Vidacura Inc. Durable Medical Equipment & Medical Supplies 222 Main St, Ste 244, Farmington, CT 06032-3623 2008-08-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508499435 Kelsey Erin Boyne Student in an Organized Health Care Education/Training Program 200 Academic Way, Farmington, CT 06032 2020-02-19
1760024723 Baliram Maraj Dentist 801 Plainville Ave., Farmington, CT 06032 2019-10-11
1770144958 Dominique Feterman Jimenez Student in an Organized Health Care Education/Training Program Internal Medicine Associates Outpatient Pavilion 2 West, 263 Farmington Avenue, Farmington, CT 06032 2019-06-27
1033770698 Tiffany Otto Nurse Practitioner 27o Farmington Avenue, # 309, Farmington, CT 06032 2019-06-25
1124683941 Aleksandra M Sliwinska Student in an Organized Health Care Education/Training Program Uconn Health Im Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 2019-05-07
1922663889 Sean Ag Harford Student in an Organized Health Care Education/Training Program Uconn Health - Internal Medicine Associates, 263 Farmington Avenue, Op, 2 West, Farmington, CT 06032 2019-05-07
1710450507 Kathy Jean Campbell Occupational Therapist 10 Birdseye Rd, Farmington, CT 06032 2019-01-04
1790273373 Cameron Seymour Dentist 291 Farmington Ave Ste 5, Farmington, CT 06032 2018-04-29
1881181790 Robin L Shahverdian LLC Counselor 304 Main St Ste D428, Farmington, CT 06032 2018-04-16
1588160998 Sight Sensory Rehabilitation Center, Pllc Optometrist 10 Birdseye Road, Farmington, CT 06032 2018-04-04
Find all providers in zip 06032

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407416977 Alexander Michael Shore Dentist 33153 Maplenut St, Farmington, MI 48336-4438 2019-06-17
1629596705 Dds Catalyst Farmington, LLC Dentist 3501 N Butler Ave Ste 104, Farmington, NM 87401-6430 2017-09-08
1750802997 Ryan Michael Holbrook Dentist 640 W Karsch Blvd, Farmington, MO 63640-3342 2017-06-28
1770939613 Modern Dental Professionals, Mn PC Dentist 20700 Chippendale Ave W, Suite 10, Farmington, MN 55024-8207 2016-05-10
1508232992 Christopher Nicholaus Roclevitch Dentist 3030 E Main St, T-1, Farmington, NM 87402-7636 2015-08-19
1003200569 Pure Dental PC Dentist 2 Forest Park Dr Ste 1, Farmington, CT 06032-1446 2015-03-23
1417346016 Missouri Dental Professionals, Richard Straus, Dmd, PC Dentist 520 W. Pine Street, Farmington, MO 63640-1426 2015-01-20
1487913869 Modern Dental Professionals Utah, PC Dentist 280 N Union Ave, #l110, Farmington, UT 84025 2012-05-07
1427320654 Summit Family Dental of Farmington, LLC Dentist 800 E 30th St Bldg 3, Farmington, NM 87401-9407 2012-02-03
1851679393 Peter Urling Dentist 19 S. Franklin St., Farmington, MO 63640 2011-08-02
Find all providers in FARMINGTON

Competitor

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City FARMINGTON
Zip Code 06032

Improve Information

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Dataset Information

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.

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