DR. STEPHEN DOMINICK BRATTELLI (NPI# 1376694844) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376694844 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN DOMINICK BRATTELLI |
| Credential | DMD |
| Practice Address |
15 Colby Ave Stratford NJ 08084-1028 |
| Mailing Address |
14 Shenandoah Dr Voorhees NJ 08043-3308 |
| Practice Telephone | 8567820103 |
| Mailing Telephone | 8565346245 |
| Enumeration Date | 2007-01-13 |
| Last Update Date | 2016-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI01515800 | NJ | Dental Providers |
| Street Address |
15 COLBY AVE |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084-1028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| 1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
| 1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
| 1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
| 1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
| Find all providers in zip 08084 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1497002687 | Poonam Gat | Dentist | 1100 Barnum Ave, Stratford, CT 06614-4901 | 2012-08-07 |
| 1538342159 | Mark P Feinberg | Dentist | 3272 Main Street, Stratford, CT 06614 | 2007-12-06 |
| 1750582524 | Frank Dalena | Dentist | 2268 Main St, Stratford, CT 06615-5999 | 2007-05-30 |
| 1922215375 | Brian Joseph Cardillo | Dentist | 212 N White Horse Pike, Stratford, NJ 08084-1224 | 2007-05-16 |
| 1093935736 | Kristy Gretzula | Dentist | 475 Hawley Lane, Unit 9, Stratford, CT 06614 | 2007-04-26 |
| 1396800702 | Reza Radmand | Dentist | 2318 Main St, Stratford, CT 06615-5966 | 2006-12-26 |
| 1790846186 | Constanta Dinulescu | Dentist | 955 Ferry Blvd, Stratford, CT 06614-6094 | 2006-12-12 |
| 1194815530 | John C Britz Dds PC | Dentist | 971 East Broadway, Stratford, CT 06615 | 2006-10-14 |
| 1477644664 | Valentina Condio Gage | Dentist | 2945 Main Street, Stratford, CT 06614 | 2006-09-27 |
| Find all providers in STRATFORD | ||||
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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.