WOLCOTT STREET DENTAL-2, PC (NPI# 1477878973) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477878973 |
| Entity Type | Organization |
| Organization Name | WOLCOTT STREET DENTAL-2, PC |
| Other Organization Name | SUTTON DENTAL |
| Practice Address |
1888 Main St Hartford CT 06120-2357 |
| Mailing Address |
1090 Northchase Pkwy Se Ste 150 Marietta GA 30067-6407 |
| Practice Telephone | 8009209947 |
| Mailing Telephone | 7709165028 |
| Mailing Fax Number | 6782477858 |
| Enumeration Date | 2010-03-29 |
| Last Update Date | 2019-08-05 |
| Authorized Official Name | DAVID M VIETH (PRESIDENT) |
| Authorized Official Telephone | 7709165036 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers | ||
| N | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers | ||
| N | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers | ||
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers | ||
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
Dental Providers | ||
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| KOOL SMILES | Doing Business As Name - Organization |
| Sutton Dental | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538392170 | Wolcott Street Dental-2, PC | Dentist | 144 Boston Ave, Bridgeport, CT 06610-1604 | 2009-08-31 |
| 1134359623 | Wolcott Street Dental-2, PC | Dentist | 728 Wolcott Street, Waterbury, CT 06705 | 2009-07-20 |
| Street Address |
1888 MAIN ST |
| City | HARTFORD |
| State | CT |
| Zip Code | 06120-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962400309 | Stanley Pizzitola | Dentist | 1888 Main St, Hartford, CT 06120-2357 | 2005-07-11 |
| 1104213255 | An Ngoc Nguyen | Dentist | 1888 Main St, Hartford, CT 06120-2357 | 2015-04-15 |
| 1962758912 | Preethi Nair | Dentist | 1888 Main St, Hartford, CT 06120-2357 | 2012-07-27 |
| 1154680296 | Afshin Badii | Dentist | 1888 Main St, Hartford, CT 06120-2357 | 2012-05-10 |
| 1912203670 | Harpreet K Ahluwalia | Dentist | 1888 Main St, Hartford, CT 06120-2357 | 2011-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245664770 | Amy Rodriguez | Social Worker | 2550 Main Street, Hartford, CT 06120 | 2013-09-03 |
| 1144578741 | Community Substance Abuse Center | Case Management | 55 Fish Fry Street, Hartford, CT 06120 | 2012-08-29 |
| 1225394190 | Edward Billie | Case Management | 27 East St, Apt 2, Hartford, CT 06120 | 2012-04-05 |
| 1497065163 | Sharron Lee Laplante | General Practice | 177 Weston Street, Hartford, CT 06120 | 2010-10-15 |
| 1417135195 | Ling Li | Nurse Practitioner | 3580 Main Street, Hartford, CT 06120 | 2008-02-05 |
| 1750592564 | Avon Medical Pharmacy | Durable Medical Equipment & Medical Supplies | Arrow Prescription Center 11, 500 Albany Avenue, Hartford, CT 06120 | 2007-05-24 |
| 1609942416 | Gene David Kirschenbaum | Obstetrics & Gynecology | 360 Market Street, Hartford, CT 06120 | 2006-11-27 |
| 1740361179 | Pamela Bond Ponichtera | Nurse Practitioner | 500 Albany Avenue, Pediatric Clinic, Hartford, CT 06120 | 2006-10-19 |
| 1841301876 | Community Renewal Team, Inc. | Clinic/Center | 330 Market Street, Hartford, CT 06120 | 2006-08-31 |
| 1548803844 | Courtney Anne Barnes | Social Worker | 330 Market St, Hartford, CT 06120 | 2019-10-20 |
| Find all providers in zip 06120 | ||||
| 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 |
|---|---|---|---|---|
| 1083237259 | Dental Smiles of Hartford, Pllc | Dentist | 550 Farmington Ave Ste B, Hartford, CT 06105-3041 | 2020-05-22 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1609304542 | Mallory Elizabeth Goding | Dentist | 1000 Asylum Ave Ste 3203, Hartford, CT 06105-1702 | 2017-05-23 |
| 1962830455 | Mattheis Hartford Dental Clinic, P.C. | Dentist | 304 W. Hwy 38 Suite #138, Hartford, SD 57033-0757 | 2013-10-22 |
| 1679833958 | Seth William Griffin | Dentist | 19 W. South St, Hartford, MI 49057 | 2012-05-21 |
| 1679864631 | Peter F Wilk D.d.s. | Dentist | 1163 Grand Ave, Hartford, WI 53027-2207 | 2011-04-26 |
| 1396051165 | Dental Group of Hartford PC | Dentist | 18 Madison St, Hartford, CT 06106-2324 | 2010-08-31 |
| 1275761017 | Andrew Bruce Hamilton | Dentist | 57418 County Road 681 Ste A, Hartford, MI 49057-9422 | 2009-07-01 |
| 1023245842 | Jacob Marshall Gady | Dentist | 54 Retreat Ave, Hartford, CT 06106-2526 | 2009-06-19 |
| 1144488438 | M Brandt Bower | Dentist | 784 S Main St, Hartford, WI 53027-2407 | 2008-05-23 |
| Find all providers in HARTFORD | ||||
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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.