SPH MERIDEN LLC


Address: 470 Lewis Ave, Meriden, CT 06451-2103
Phone: 2034404199

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Other Provider IDs and Locations

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

Office Location

Street Address 470 LEWIS AVE
City MERIDEN
State CT
Zip Code 06451-2103

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City MERIDEN
Zip Code 06451

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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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