SPH MERIDEN LLC (NPI# 1356727739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1356727739 |
Entity Type | Organization |
Organization Name | SPH MERIDEN LLC |
Practice Address |
470 Lewis Ave Meriden CT 06451-2103 |
Practice Telephone | 2034404199 |
Enumeration Date | 2015-08-07 |
Last Update Date | 2015-08-07 |
Authorized Official Name | MR. ANDRE LAVOIE (OFFICE MANAGER) |
Authorized Official Telephone | 8606440099 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013393578 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2015-08-07 |
1811395494 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2014-12-12 |
Street Address |
470 LEWIS AVE |
City | MERIDEN |
State | CT |
Zip Code | 06451-2103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346396983 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 470 Lewis Ave, Meriden Square, Meriden, CT 06451-2103 | 2007-01-26 |
1205297058 | Insight, LLC | Optometrist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2016-03-08 |
1720448004 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 470 Lewis Ave, Meriden, CT 06451-2103 | 2016-03-01 |
1013393578 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2015-08-07 |
1811395494 | Sph Meriden LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2014-12-12 |
1891081022 | Ji Hyun Kim | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2011-06-27 |
1558687103 | Sph2 Enterprise LLC | Dentist | 470 Lewis Ave, Meriden, CT 06451-2103 | 2010-04-07 |
1447317961 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 470 Lewis Ave, Meriden Square, Meriden, CT 06450-2103 | 2007-01-03 |
1043371115 | Eugene Robert Bertolli | Optometrist | 470 Lewis Ave, C/o Sears Optical, Meriden, CT 06451 | 2006-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225490055 | Great Hills LLC | Pharmacy | 152 Colony St Unit A, Meriden, CT 06451 | 2016-03-22 |
1659695344 | Dr. Bertolli Od & Associates LLC | Optometrist | 470 Lewis Avenue, C/o Sears Optical, Meriden, CT 06451 | 2010-03-24 |
1205086733 | Michelle Lavallee Dagostine | Psychiatry & Neurology | 455 Lewis Ave., Suite 221, Meriden, CT 06451 | 2008-09-20 |
1538212857 | Meriden Surgical Supply Inc | Prosthetic/Orthotic Supplier | 170 West Main Street, Meriden, CT 06451 | 2007-01-19 |
1922036920 | Lisa M Marvin Smith | Nurse Practitioner | 26 Womens Way, Meriden, CT 06451 | 2006-06-29 |
1831683523 | Trisha Kowalski | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-06-18 |
1093203424 | Ryan Wessels | Physician Assistant | 435 Lewis Ave, Meriden, CT 06451 | 2018-05-01 |
1235599333 | Mcm Dental, LLC | Dentist | 74 Main Street, Lakewood, CT 06451 | 2016-03-02 |
1215270533 | Rouzbeh Fateh | Psychiatry & Neurology | 435 Lewis Ave, Meriden, CT 06451 | 2013-04-04 |
1790035186 | Jona Lesage Maloney | Music Therapist | 122 Windsor Ave, 2nd Floor, Meriden, CT 06451 | 2012-09-13 |
Find all providers in zip 06451 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770664443 | Ellen F Drazner | Dentist | 298 Broad St, Meriden, CT 06450-5853 | 2006-10-18 |
1952432411 | Fox Pediatric & Adolescent Dentistry, P.C. | Dentist | 546 S Broad St, Suite 2d, Meriden, CT 06450-6600 | 2007-03-08 |
1174654610 | Stephen Niles Fox | Dentist | 546 S Broad St, Suite 2d, Meriden, CT 06450-6600 | 2007-03-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
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.