DR. ERIC HAN (NPI# 1457737454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457737454 |
| Entity Type | Individual |
| Full Name | DR. ERIC HAN |
| Credential | DDS |
| Practice Address |
697 Poquonock Ave Windsor CT 06095 |
| Mailing Address |
2030 Hudson St Apt 631 Fort Lee NJ 07024-7216 |
| Practice Telephone | 6179920104 |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN1856970 | MA | Dental Providers |
| N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
0401416374 | VA | Dental Providers |
| Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
11925 | CT | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4422 3rd Ave, Bronx, NY 104572545 | 2017312935 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720435092 | Eric Han | Obstetrics & Gynecology | 100 West Campus Drive, Orange, CT 06477 | 2016-05-17 |
| 1841565942 | Eric W Han | Internal Medicine | 11725 N Illinois St, Ste 465, Carmel, IN 46032-3010 | 2012-03-21 |
| 1699901876 | Eric Yulong Han | Pathology | 1515 Holcombe Blvd, Unit 53, Utmdacc, Houston, TX 77030 | 2009-06-02 |
| Street Address |
697 POQUONOCK AVE |
| City | WINDSOR |
| State | CT |
| Zip Code | 06095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1811467442 | Joseph C Gaetani Jr. | Specialist | 340 Broad Street Suite 320, Windsor, CT 06095 | 2018-11-27 |
| 1447629043 | Brittany Higginbotham | Marriage & Family Therapist | 347 Park Avenue, Windsor, CT 06095 | 2015-09-24 |
| 1265780894 | Annetta Ruth Troche | Nurse Practitioner | 22 Parkwood Drive, Windsor, CT 06095 | 2012-08-29 |
| 1821234006 | Milna Rosario | Social Worker | 6 Poquonock Avenue, Windsor, CT 06095 | 2008-12-18 |
| 1962686824 | Kimberly Ju Kim | Pediatrics | 820 C Prospect Hill Road, Windsor, CT 06095 | 2007-12-27 |
| 1972708758 | Price Chopper Inc | Pharmacy | 675 Poquoncock Ave, Windsor, CT 06095 | 2007-06-20 |
| 1396870358 | Occupational Health Centers of The Southwest, P.a., P.C. | Clinic/Center | 1080 Day Hill Road, Windsor, CT 06095 | 2007-02-22 |
| 1841342094 | Thomas F. Reif | Psychologist | 32 Maple Avenue, Windsor, CT 06095 | 2007-01-17 |
| 1497839849 | Matthew Alan Marci | Technician/Technologist | 192 Broad St, Windsor, CT 06095 | 2006-10-24 |
| Find all providers in zip 06095 | ||||
| Taxonomy Code | 1223D0004X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Dentist Anesthesiologist |
| A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
| Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326061821 | William Andrew Macdonnell | Dentist | 158 Hunter Dr, West Hartford, CT 06107-1017 | 2006-07-25 |
| 1841720794 | Asleep Dentistry | Dentist | 37 North Ave, Norwalk, CT 06851-3827 | 2017-06-14 |
| 1770935710 | Tee-pee Dentistry P.C. | Dentist | 468 Clinton Ave, Bridgeport, CT 06605-1713 | 2016-07-01 |
| 1043696107 | Walnut Dental | Dentist | 272 Franklin Ave, Hartford, CT 06114 | 2015-07-30 |
| 1790170033 | Yale-new Haven Hospital | Dentist | 1 Long Wharf Dr, Suite 403, New Haven, CT 06511-5991 | 2015-04-03 |
| 1669775508 | Scott Maurice Dillard | Dentist | 401 Center St, Manchester, CT 06040-3924 | 2010-12-15 |
| 1619171790 | Kids Dental Care, LLC | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2007-06-13 |
Please comment or provide details below to improve the information on DR. ERIC HAN.
| 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.