CONNECTICUT DENTAL PROFESSIONALS, P.C. (NPI# 1447886908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447886908 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT DENTAL PROFESSIONALS, P.C. |
| Practice Address |
203 Storrs Rd Mansfield Center CT 06250-1638 |
| Practice Telephone | 8604239717 |
| Enumeration Date | 2020-03-17 |
| Last Update Date | 2020-03-17 |
| Authorized Official Name | TABATHA LEMKE (CREDENTIALING COORDINATOR) |
| Authorized Official Telephone | 2175406078 |
| Is Organization Subpart | Y |
| Parent Organization Name | CONNECTICUT DENTAL PROFESSIONALS, P.C. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Reservoir Commons Dental Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083256226 | Connecticut Dental Professionals, P.C. | Dentist | 276 Oxford Rd Ste 2, Oxford, CT 06478-1956 | 2019-10-09 |
| 1104387489 | Connecticut Dental Professionals, P.C. | Dentist | 111 East Ave Ste 200, Norwalk, CT 06851-5014 | 2019-03-28 |
| 1326645334 | Connecticut Dental Professionals, P.C. | Dentist | 410 Saybrook Rd Ste 202, Middletown, CT 06457-4777 | 2020-10-02 |
| 1811508062 | Connecticut Dental Professionals, P.C. | Dentist | 203 Storrs Rd, Mansfield Center, CT 06250-1638 | 2020-08-12 |
| 1104436633 | Connecticut Dental Professionals, P.C. | Dentist | 203 Cherry St, Milford, CT 06460-3501 | 2020-08-10 |
| 1881225878 | Connecticut Dental Professionals, P.C. | Dentist | 243 Broad St, Milford, CT 06460-3269 | 2020-01-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CONNECTICUT DENTAL PROFESSIONALS, P.C. | 50 Weston St, Hartford, CT 06120 |
| Street Address |
203 STORRS RD |
| City | MANSFIELD CENTER |
| State | CT |
| Zip Code | 06250-1638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326154022 | Fran E. Storch | Naturopath | 203 Storrs Rd, Mansfield Center, CT 06250-1638 | 2006-08-22 |
| 1811508062 | Connecticut Dental Professionals, P.C. | Dentist | 203 Storrs Rd, Mansfield Center, CT 06250-1638 | 2020-08-12 |
| 1659592749 | Donna Davis Rosen | Dentist | 203 Storrs Rd, Mansfield Center, CT 06250-1638 | 2007-05-02 |
| 1457572539 | Deborah Liang Wing | Dentist | 203 Storrs Rd, Mansfield Center, CT 06250-1638 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922610765 | Rebecca Hinckley | Physical Therapist | 175 Stafford Road, Mansfield Center, CT 06250 | 2020-08-22 |
| 1649801184 | Kristine Leslie Dimartino | Marriage & Family Therapist | Natchaug Hospital Sachem House, 151 Storrs Road, Mansfield Center, CT 06250 | 2020-02-03 |
| 1942845508 | Philip Fank De Ricco | Massage Therapist | 590 Ash St, Mansfield, CT 06250 | 2019-11-07 |
| 1134772858 | Lauren Curtis | Counselor | 140 North Frontage Road, Mansfield Ctr, CT 06250 | 2019-07-22 |
| 1548747629 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 140 North Frontage Road, Room 171, Mansfield Center, CT 06250 | 2018-07-23 |
| 1366958480 | Mansfield Mental Health & Addiction Medicine | Psychiatry & Neurology | 18-e Ledgebrook Drive, 18-e, Mansfield Ctr, CT 06250 | 2017-12-27 |
| 1124499629 | Laura Jean Lassow | Social Worker | 70 Jacobs Hill Rd, Mansfield Center, CT 06250 | 2015-10-12 |
| 1508105891 | Raymond Karl Bopp | Surgery | 533 Wormwood Hill Road, Mansfield Center, CT 06250 | 2013-02-06 |
| 1992026900 | Carole Laurie Olderman | Social Worker | 189 Storrs Road, 06250, Natchaug Hospital, Mansfield, CT 06250 | 2010-06-14 |
| 1427384775 | Maurice Samuel Lapointe | Marriage & Family Therapist | 365 Storrs Road, Mansfield, CT 06250 | 2009-10-21 |
| Find all providers in zip 06250 | ||||
| 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 |
|---|---|---|---|---|
| 1811508062 | Connecticut Dental Professionals, P.C. | Dentist | 203 Storrs Rd, Mansfield Center, CT 06250-1638 | 2020-08-12 |
| 1659592749 | Donna Davis Rosen | Dentist | 203 Storrs Rd, Mansfield Center, CT 06250-1638 | 2007-05-02 |
| 1457572539 | Deborah Liang Wing | Dentist | 203 Storrs Rd, Mansfield Center, CT 06250-1638 | 2007-05-02 |
| 1144343971 | Robert Irwin Rosner | Dentist | 10 Higgins Hwy, Suite 1, Mansfield Center, CT 06250-1437 | 2007-04-08 |
| 1275650699 | Marc John Czarnowski | Dentist | 10 Higgins Hwy, Suite 1, Mansfield Center, CT 06250-1437 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059378 | Kainat Naeem | Dentist | 70 Pease Ave, Southport, CT 06890-1110 | 2020-10-04 |
| 1306452479 | Robert James Wollschlager | Dentist | 495 Route 184 Ste 312, Groton, CT 06340-6230 | 2020-09-23 |
| 1699392134 | David Powers | Dentist | 2955 Main St Ste 400, Glastonbury, CT 06033-1028 | 2020-07-01 |
| 1730719279 | Bartley Dentistry | Dentist | 697 Poquonock Ave., Windsor, CT 06095-2259 | 2020-01-23 |
| 1295374296 | The Smile Studio At Bushnell Park | Dentist | 1 Gold St Ste Q, Hartford, CT 06103-2914 | 2019-12-23 |
| 1558904987 | Baybrook Dental | Dentist | 4 Ocean Ave # 2, West Haven, CT 06516-7048 | 2019-10-17 |
| 1083256226 | Connecticut Dental Professionals, P.C. | Dentist | 276 Oxford Rd Ste 2, Oxford, CT 06478-1956 | 2019-10-09 |
| 1962050765 | Sasha Drexler Dentistry Pllc | Dentist | 1305 Post Rd Ste 200, Fairfield, CT 06824-6016 | 2019-08-27 |
| 1649827981 | Caitlin Rose Berwick | Dentist | 251 Long Ridge Rd, Stamford, CT 06902-1640 | 2019-08-21 |
| 1801441902 | Fairfield Dental Associates PC | Dentist | 1979 Post Rd, Fairfield, CT 06824-5723 | 2019-08-06 |
| Find all providers with the same taxonomy | ||||
| City | MANSFIELD CENTER |
| Zip Code | 06250 |
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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.