KSENIA G. BAXTER (NPI# 1467749283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467749283 |
| Entity Type | Individual |
| Full Name | KSENIA G. BAXTER |
| Credential | DMD |
| Practice Address |
2 Stony Hill Rd Bethel CT 06801 |
| Mailing Address |
2 Stony Hill Rd Bethel CT 06801-1063 |
| Practice Telephone | 2037922263 |
| Mailing Telephone | 2037922263 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2018-05-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
10812 | CT | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
10812 | CT | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004011136 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 263 Farmington Ave, Uconn School of Dental Medicine, Farmington, CT 060303905 | 8606792207 | 8606791899 |
| Street Address |
2 STONY HILL RD |
| City | BETHEL |
| State | CT |
| Zip Code | 06801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477583862 | Nicholas A Cucharale | Dentist | 2 Stony Hill Rd, Bethel, CT 06801-1063 | 2006-07-03 |
| 1124043369 | Stepehn Michael Silston | Dentist | 2 Stony Hill Rd, Bethel, CT 06801-1063 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235669805 | Turning Point Medical | Durable Medical Equipment & Medical Supplies | 211 Greenwood Ave 2-2, Num 147, Bethel, CT 06801 | 2017-06-15 |
| 1861800625 | Barbara Kelly, Lpc | Counselor | 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 | 2014-07-24 |
| 1104114545 | Lisa Anne Pottasch | Clinical Nurse Specialist | 4berkshire Boulevard, Ability Beyond Disability, Bethel, CT 06801 | 2011-07-19 |
| 1194018671 | Hilary Norman | Physical Therapist | 13 Parklawn Drive, Bethel, CT 06801 | 2011-05-17 |
| 1215247077 | Michael Thomas Murphy | Chiropractor | 182 Grassy Plain Street, Bethel, CT 06801 | 2010-10-14 |
| 1437315751 | Bethel Vol Fire Dept | Ambulance | 36-40 South St, Bethel, CT 06801 | 2008-08-06 |
| 1023212032 | Village Square Internal Medicine PC | Internal Medicine | 2 Elizabeth Street, Bethel, CT 06801 | 2007-06-13 |
| 1376688655 | Big Y Foods, Inc. | Durable Medical Equipment & Medical Supplies | 81 Stony Hill Road, Bethel, CT 06801 | 2007-02-21 |
| 1538249164 | Holly Amber Suriano | Occupational Therapist | 121 Codfish Hill Rd, Bethel, CT 06801 | 2006-10-17 |
| 1659482719 | Dr Russell D Caram & Associates PC | Chiropractor | 182 Grassy Plain St, Bethel, CT 06801 | 2006-08-31 |
| Find all providers in zip 06801 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477583862 | Nicholas A Cucharale | Dentist | 2 Stony Hill Rd, Bethel, CT 06801-1063 | 2006-07-03 |
| 1124043369 | Stepehn Michael Silston | Dentist | 2 Stony Hill Rd, Bethel, CT 06801-1063 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384966 | Connecticut Periodontal & Implant Associates | Dentist | 1080 Day Hill Rd Ste 101, Windsor, CT 06095-1781 | 2020-07-23 |
| 1790212348 | Vidushi Gupta | Dentist | 546 S Broad St Ste 2d, Meriden, CT 06450-6601 | 2017-05-15 |
| 1184057192 | Hamden Family Dental Center | Dentist | 4193 Whitney Ave, Hamden, CT 06518-1212 | 2013-08-13 |
| 1649618901 | Avon Center Dentistry | Dentist | 19 Ensign Drive, Avon, CT 06001 | 2013-06-10 |
| 1487900528 | Amazing Smiles LLC | Dentist | 148 East Ave Ste 1b, Norwalk, CT 06851-5727 | 2012-07-26 |
| 1851614002 | Patricia I Diaz-moreno | Dentist | 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 | 2010-03-02 |
| 1003045675 | Sejal Thacker | Dentist | 82 Spring Lane, West Hartford, CT 06107 | 2009-07-04 |
| 1013144039 | Stella L. Laskowski | Dentist | 74 Palomba Drive, Enfield, CT 06082 | 2009-06-17 |
| 1407019557 | Nicole Ann Marquis | Dentist | 51 Boston Post Rd, Suite 10, Madison, CT 06443-2155 | 2008-07-09 |
| 1851562466 | Arthur Fred Dean | Dentist | 489 Route 184, Suite 201, Groton, CT 06340-6227 | 2008-03-23 |
| Find all providers with the same taxonomy | ||||
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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.