ELITE DENTAL (NPI# 1366891509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366891509 |
| Entity Type | Organization |
| Organization Name | ELITE DENTAL |
| Practice Address |
1 Willowbrook Rd Suite 1 Cromwell CT 06416-1101 |
| Mailing Address |
294 Paxton Way Glastonbury CT 06033-3384 |
| Practice Telephone | 8607405009 |
| Practice Fax Number | 8603165861 |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | DR. JAMES NGUYEN (OWNER) |
| Authorized Official Telephone | 8607405096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 1801913660 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619496577 | Elite Dental | Dentist | 2703 General De Gaulle Dr, New Orleans, LA 70114-6222 | 2017-09-12 |
| 1669907036 | Elite Dental | Dentist | 1025 N Fillmore St Ste C, Arlington, VA 22201-6700 | 2017-04-24 |
| 1295990422 | Elite Dental | Dentist | 9819 64th Ave Apt 1h, Rego Park, NY 11374-2525 | 2008-07-28 |
| 1497101240 | Elite Dental | Dentist | 1025 N Fillmore St, C, Arlington, VA 22201-6701 | 2016-05-11 |
| 1477892685 | Elite Dental | Dentist | 218 N West State Rd, American Fork, UT 84003-1419 | 2013-02-07 |
| 1851607402 | Elite Dental | Dentist | 3280 W 3500 S, #3, West Valley, UT 84119-2668 | 2010-08-20 |
| 1942522073 | Elite Dental | Dentist | 851 W State Road 436, 1021, Altamonte Springs, FL 32714-3000 | 2010-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Elite Dental Arts Center PLLC | 11803 Breton Ct Apt #22-b, Reston, Virginia 20191 |
| New York State Corporations | ELITE DENTAL ARTS NYC 2 INC | 240 Central Park South, 2q, New York, Ny 10019 |
| Oregon Corporations, Companies and Business Names | ELITE DENTAL ARTS, INC. | 19405 Golden Meadow Loop, Bend, OR 97702 |
| Colorado Business Entities | Elite Dental Assist LLC | 905 Delft Dr., Colorado Springs, CO 8907 |
| Washington State Corporations | ELITE DENTAL ASSISTING ACADEMY LLC | 2415 Se 165th Ave, Suite 103, Vancouver, WA 98683-4324 |
| System for Award Management (SAM) Entities | ELITE DENTAL ASSISTING ACADEMY LLC | 2415 Se 165th Ave Ste 103, Vancouver, WA 98683-4324 |
| Colorado Business Entities | Elite Dental Assisting Institute LLC | 10037 W Remmington Ave, Littleton, CO 80127 |
| Oregon Corporations, Companies and Business Names | ELITE DENTAL CARE INC | 1600 Sw Cedar Hills Blvd, #110, Portland, OR 97225 |
| Virginia Business Entities | ELITE DENTAL CARE P.C. | |
| New York State Corporations | ELITE DENTAL CARE, P.C. | 94-38 59th Avenue, Elmhurst, Ny 11373 |
| Street Address |
1 WILLOWBROOK RD SUITE 1 |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-1101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| 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 |
|---|---|---|---|---|
| 1578876512 | Sara Marie Furino | Dentist | 30 Country Squire Dr, Cromwell, CT 06416-2512 | 2010-07-20 |
| 1881918324 | Janae Jessica Donady | Dentist | 130 Woodland Dr, Cromwell, CT 06416-1158 | 2010-03-25 |
| 1770961344 | Eben Light | Dentist | 75 Berlin Rd, Suite 108, Cromwell, CT 06416-2633 | 2015-05-14 |
| 1043565054 | Tori Elizabeth Saferin | Dentist | 30 Country Squire Dr, Cromwell Dental, Cromwell, CT 06416-2512 | 2012-07-16 |
| 1457577082 | Donald R. Drouin | Dentist | 26 Shunpike Rd, Cromwell, CT 06416-2442 | 2007-04-18 |
| 1740406891 | David Joseph Ridolfi | Dentist | 26 Shunpike Rd, Cromwell, CT 06416-2442 | 2007-04-17 |
| 1922122407 | Jeffrey M. Shuster | Dentist | 28 Shunpike Rd, Suite 7, Cromwell, CT 06416-2454 | 2007-03-19 |
| 1437296423 | Robert Alan Breault | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2007-01-31 |
| 1043357825 | Cromwell Family Dental, PC | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2007-01-31 |
| 1578609145 | Jeffrey Joseph Scull | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2007-01-30 |
| Find all providers in CROMWELL | ||||
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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.