DR. GRIFFIN B UDELSON (NPI# 1477971257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477971257 |
| Entity Type | Individual |
| Full Name | DR. GRIFFIN B UDELSON |
| Credential | DMD |
| Practice Address |
365 Willard Ave Newington CT 06111-2373 |
| Practice Telephone | 8606667910 |
| Mailing Telephone | 8606667910 |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2020-06-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12712 | CT | Dental Providers |
| N | 122300000X | Dentist | DN1856847 | MA | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 79 Broad St, Westfield, MA 010852925 | 4135625494 |
| Street Address |
365 WILLARD AVE |
| City | NEWINGTON |
| State | CT |
| Zip Code | 06111-2373 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578551677 | Robert A Ernst | Dentist | 365 Willard Ave, Suite 2h, Newington, CT 06111-2373 | 2005-10-12 |
| 1053864348 | A Walk-in Medical Center LLC | Emergency Medicine | 365 Willard Ave, Suite 2e, Newington, CT 06111-2373 | 2016-08-03 |
| 1881096220 | Linda Spadaccini | Nurse Practitioner | 365 Willard Ave, Ste 2d, Newington, CT 06111-2316 | 2014-09-17 |
| 1295857290 | Kiran Grover | Dentist | 365 Willard Ave, Newington, CT 06111-2373 | 2007-04-03 |
| 1396877981 | Theodore J Adamidis | Dentist | 365 Willard Ave, Newington, CT 06111-2373 | 2007-03-10 |
| 1003886193 | Jeffrey Mark Kagan | Internal Medicine | 365 Willard Ave, Suite 2-d, Newington, CT 06111-2373 | 2006-01-23 |
| 1326018425 | Turgut Yetil | Internal Medicine | 365 Willard Ave, Suite 2-d, Newington, CT 06111-2373 | 2006-01-23 |
| 1457321564 | Stacie Zibel | Nurse Practitioner | 365 Willard Ave, Suite 2-d, Newington, CT 06111-2373 | 2006-01-23 |
| 1588634695 | Newington Internal Medicine Primary Care,llp | Internal Medicine | 365 Willard Ave, Suite 2-d, Newington, CT 06111-2373 | 2006-01-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952880056 | Insight To Wellness Therapeutic Services, LLC | Community/Behavioral Health | 66 Cedar St. Suite 201, Newington, CT 06111 | 2018-08-09 |
| 1356843833 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 38 Fenn Road, Newington, CT 06111 | 2018-03-01 |
| 1942719927 | Jessica Quintero-villa | Chiropractor | Judson Family Chiropractic, 133 Louis St., Newington, CT 06111 | 2017-09-22 |
| 1194245993 | Serrita Roper | Registered Nurse | 11 Edward St, Newington, CT 06111 | 2017-06-22 |
| 1417482522 | Aditi Thakkar | Student in an Organized Health Care Education/Training Program | 555 Willard Avenue, Newington Va Hospital, Newington, CT 06111 | 2017-04-26 |
| 1033562525 | Hassan Bin Attique | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, Newington Vamc, Firm Chief, Firm 2, Vact Primary Care, Newington, CT 06111 | 2016-07-19 |
| 1013360098 | Home Care Associates of Ct 2 Inc | In Home Supportive Care | 66 Cedar Street, Unit 301, Newington, CT 06111 | 2016-07-14 |
| 1548623259 | Aniket Sharma | Student in an Organized Health Care Education/Training Program | Newington Va Hospital, 555 Willard Avenue, Newington Vamc, Firm Chief, Firm 2, Vact Pri, Newington, CT 06111 | 2016-03-30 |
| 1790104883 | Patrick Ogurick | Pediatrics | 141 Willard Avenue, Newington, CT 06111 | 2014-04-16 |
| 1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
| Find all providers in zip 06111 | ||||
| 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 |
|---|---|---|---|---|
| 1982179990 | Newington Dentistry and Braces Inc | Dentist | 2985 Berlin Tpke Unit 7a, Newington, CT 06111-4601 | 2018-10-05 |
| 1922438217 | Susan Pollock May | Dentist | 51 Market Sq., Newington, CT 06111 | 2013-11-22 |
| 1598055899 | Robert S. Czop | Dentist | 43 Market Square, Newington, CT 06111 | 2011-04-08 |
| 1902060627 | Himabindu Illindala | Dentist | 164 Hunters Ln, Newington, CT 06111-4542 | 2008-07-11 |
| 1750401048 | Marc P Brown | Dentist | 101 Shattuck Way Ste 3, Newington, NH 03801-7876 | 2007-03-30 |
| 1467535864 | Richard Yen-tsai Liu | Dentist | 101 Shattuck Way Ste 5, Newington, NH 03801-7876 | 2006-10-23 |
| 1932210127 | Sebastian Richard Bascetta | Dentist | 138 -r Market Square, Newington, CT 06111-2913 | 2006-08-31 |
| 1457468704 | Paul J Leckowicz | Dentist | 103 Market Square, Newington, CT 06111 | 2006-08-24 |
| 1780601492 | Christopher A.may, D.m.d., P.C. | Dentist | 51 Market Sq, Newington, CT 06111-2912 | 2006-07-17 |
| 1013446533 | Jacquelyn Phyllis Pitcher | Dentist | 375 Willard Ave, Newington, CT 06111 | 2017-06-08 |
| Find all providers in NEWINGTON | ||||
Please comment or provide details below to improve the information on DR. GRIFFIN B UDELSON.
| 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.