DR. DANTE E GULINO JR. (NPI# 1356366165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356366165 |
| Entity Type | Individual |
| Full Name | DR. DANTE E GULINO JR. |
| Credential | DDS., MD. |
| Practice Address |
495 Gold Star Hwy Suite 205 Groton CT 06340-6228 |
| Mailing Address |
495 Route 184 Suite 205 Groton CT 06340 |
| Practice Telephone | 8604491023 |
| Mailing Telephone | 8604491023 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
008353 | CT | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM PROVIDER # | 020008353CT01 | 01 |
| CT | ACS HEALTHNET # | CV5432 | 01 |
| CT | PROVIDER # | 008353 | 01 |
| CT | UNITED CONCORDIA # | 1369886 | 01 |
| CT | DEA # | BG7715850 | 01 |
| Street Address |
495 GOLD STAR HWY SUITE 205 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-6228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225067895 | Steven Y Wei | Orthopaedic Surgery | 495 Gold Star Hwy, Suite 300, Groton, CT 06340-6228 | 2006-07-03 |
| 1306373162 | Catherine M Reinhardt | Counselor | 495 Gold Star Hwy, Groton, CT 06340-6228 | 2017-05-11 |
| 1861866139 | Connecticut Institute of Behavioral Health Inc. | Psychologist | 495 Gold Star Hwy, Suite 220, Groton, CT 06340-6230 | 2015-11-24 |
| 1649596214 | Jennifer Selden, Ph.d., LLC | Psychologist | 495 Gold Star Hwy, Suite 200, Groton, CT 06340-6228 | 2010-04-08 |
| 1447459672 | Eric R. Wolf, M.d., P.C. | Dermatology | 495 Gold Star Hwy, Suite 108, Groton, CT 06340-6228 | 2007-07-17 |
| 1033311915 | Gold Star Pediatrics LLC | Pediatrics | 495 Gold Star Hwy, Ste 495, Groton, CT 06340-6228 | 2007-06-04 |
| 1134344476 | Rebecca Tyler Davis | Physical Therapist | 495 Gold Star Hwy, Groton, CT 06340-6228 | 2007-04-13 |
| 1245350537 | Frederick William Berggren Jr. | Physical Therapy Assistant | 495 Gold Star Hwy, Suite112, Groton, CT 06340-6228 | 2007-03-30 |
| 1568508042 | James A Wollschlager | Dentist | 495 Gold Star Hwy, Suite 312, Groton, CT 06340-6228 | 2007-01-30 |
| 1790845949 | Mary A Glenn | Pediatrics | 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951350 | Connecticut Oral Surgery and Implant Center, Pllc | Dentist | 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 | 2020-01-14 |
| 1952898025 | Premier Oral Surgery and Implantology Center LLC | Dentist | 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 | 2018-04-15 |
| 1629595145 | Gary Fishbein Dmd LLC | Dentist | 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 | 2017-08-25 |
| 1912428160 | Gm Surgical Associates LLC | Dentist | 130 New London Tpke Ste 3, Norwich, CT 06360-2624 | 2017-06-28 |
| 1861920068 | Mofs-ct Oral Facial Surgery LLC | Dentist | 1 Boulder Ave, Old Greenwich, CT 06870-1420 | 2017-06-01 |
| 1881034262 | Christy Lottinger | Dentist | 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 | 2013-06-28 |
| 1558618025 | Priceless Dental Care P.C. | Dentist | 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 | 2012-08-14 |
| 1477840270 | Imanuel Babayev | Dentist | 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 | 2011-06-30 |
| 1629364997 | New London Dental Care, LLC | Dentist | 258 S Frontage Rd, New London, CT 06320-2641 | 2011-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| Find all providers with the same taxonomy | ||||
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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.