EVANDRO DASILVA MATTOS (NPI# 1497991517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497991517 |
| Entity Type | Individual |
| Full Name | EVANDRO DASILVA MATTOS |
| Practice Address |
275 Nichols Rd Fitchburg MA 01420-1919 |
| Practice Telephone | 9788788420 |
| Practice Fax Number | 9786655808 |
| Mailing Telephone | 9788788420 |
| Mailing Fax Number | 9786655808 |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 10040 | MA | Dental Providers |
| Street Address |
275 NICHOLS RD |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770581308 | Bruce A Bornstein | Radiology | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2005-07-08 |
| 1932747102 | Alyssa Aguiar | Registered Nurse | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2019-12-18 |
| 1972161735 | Molly Kate Vita | Dietitian, Registered | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2019-06-05 |
| 1265918718 | Katrina M Parkhurst | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2018-07-18 |
| 1366805707 | Jeannette L Ryan Alkasab | Family Medicine | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-04-02 |
| 1508228545 | Cailin Mcdeed | Student in an Organized Health Care Education/Training Program | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-03-28 |
| 1619336732 | Mary Ellen Tull | Registered Nurse | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2016-02-17 |
| 1902276991 | Ashley Jackson I | Counselor | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-10-02 |
| 1922494756 | Aimee Lynn Ferrante | Nurse Practitioner | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-04-08 |
| 1508252362 | Elizabeth Zephir | Physician Assistant | 275 Nichols Rd, Fitchburg, MA 01420-1919 | 2015-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| 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 |
|---|---|---|---|---|
| 1366095663 | Dr. Stanley Joe Dmd, PC | Dentist | 17 Pierce Ave Ste A, Fitchburg, MA 01420-7111 | 2019-07-17 |
| 1760975395 | Alysha Rolli | Dentist | 2945 Triverton Pike Dr, Fitchburg, WI 53711 | 2018-06-08 |
| 1992227102 | Isabel Pimentel | Dentist | 5401 Caddis Bnd Unit B, Fitchburg, WI 53711-7122 | 2017-07-10 |
| 1376953000 | Jason Jacoby | Dentist | 6317 Mckee Rd, Suite 500, Fitchburg, WI 53719-5006 | 2014-05-02 |
| 1699885467 | Donald V Lemay | Dentist | 110 Prichard St, Fitchburg, MA 01420 | 2006-08-30 |
| 1073523031 | Nicholas Joseph Dininno Jr. | Dentist | 44 Oliver Street, Fitchburg, MA 01420 | 2006-08-09 |
| 1255956884 | Gianna Schuhknecht | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2020-06-09 |
| 1194210849 | Mohamed R Ilshahuome | Dentist | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2018-06-26 |
| 1235679341 | Chiyoon Ahn | Dentist | 326 Nichols Rd, Fitchburg, MA 01420-1914 | 2017-03-08 |
| 1336509900 | Brian Donald Bins | Dentist | 3070 Fish Hatchery Rd, Fitchburg, WI 53713-3187 | 2016-02-25 |
| Find all providers in FITCHBURG | ||||
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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.