FAMILY & PREVENTIVE DENTISTRY, PC (NPI# 1538554647) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538554647 |
| Entity Type | Organization |
| Organization Name | FAMILY & PREVENTIVE DENTISTRY, PC |
| Practice Address |
357 Main St S Woodbury CT 06798-3408 |
| Mailing Address |
357 Main St S Po Box 593 Woodbury CT 06798-3408 |
| Practice Telephone | 2032635575 |
| Mailing Telephone | 2032635575 |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2015-04-06 |
| Authorized Official Name | JAMES B. MARSHALL (PARTNER) |
| Authorized Official Telephone | 2032635575 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7617 | CT | Dental Providers |
| Street Address |
357 MAIN ST S |
| City | WOODBURY |
| State | CT |
| Zip Code | 06798-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154545846 | Robert Fc Larosa | Dentist | 357 Main St S, Pob 593, Woodbury, CT 06798-3408 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427655422 | Tara Tranguch | Naturopath | 74 Main Street North, Bldg 2 - Apt 204, Woodbury, CT 06798 | 2020-10-03 |
| 1831469949 | Shannon Marie Alther | Social Worker | 660 Main St S Ste 5, Woodbury, CT 06798 | 2012-01-05 |
| 1942483060 | Karen P Sheehan-wolff | Social Worker | 39 Sherman Hill Road, Cornerstone Professional Park, Suite C101, Woodbury, CT 06798 | 2007-12-12 |
| 1104905462 | Andrea Jill Needleman | Family Medicine | 4 South Pomperaug Ave, Woodbury, CT 06798 | 2006-11-06 |
| 1609801497 | James B Marshall | Dentist | 357 Main Street South, Woodbury, CT 06798 | 2006-07-11 |
| 1629020797 | Karen Bavaro Lawlor | Chiropractor | 2 White Oak Road, Bavaro Chiropractic Center LLC, Woodbury, CT 06798 | 2006-05-17 |
| 1346643251 | Katherine Layman | Naturopath | 787 Main St S Unit A-5, Woodbury, CT 06798 | 2014-10-06 |
| 1972912079 | Stephanie Lynam | Psychologist | 175 Main St S, Woodbury, CT 06798 | 2014-08-04 |
| 1639302847 | Douglas Foster Thompson | Counselor | 51 Sherman Hill Rd, Building A, Suite 104c, Woodbury, CT 06798 | 2009-09-03 |
| 1770562720 | Woodbury Physical Therapy LLC | Physical Medicine & Rehabilitation | 264 Main St S, Ste 200, Woodbury, CT 06798 | 2006-01-10 |
| Find all providers in zip 06798 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932769676 | Kristina Pokharel | Dentist | 8525 Titanium Cir, Woodbury, MN 55129-2227 | 2019-06-14 |
| 1104318328 | Nailah Khalfan | Dentist | 48 Westwood Ct, Woodbury, NY 11797-2624 | 2018-06-04 |
| 1255880944 | Salute Dental | Dentist | 2101 Woodwinds Dr Ste 500, Woodbury, MN 55125-2527 | 2016-09-23 |
| 1164877288 | Jurim Dental Group | Dentist | 370 Crossways Park Dr, Woodbury, NY 11797-2050 | 2016-04-26 |
| 1639544141 | Corsi Dental Associates | Dentist | 161 N Broad St, Woodbury, NJ 08096-1718 | 2015-12-09 |
| 1477929008 | Avra Miriam Louis | Dentist | 85 Woodlake Dr W, Woodbury, NY 11797-2304 | 2015-08-18 |
| 1053791954 | Rebecca J Petersen | Dentist | 8325 Seasons Parkway Suite 103, Healthpartners Woodbury Dental, Woodbury, MN 55125-3477 | 2015-06-04 |
| 1205261195 | City Center Dental, L.L.C. | Dentist | 8375 City Centre Dr, Woodbury, MN 55125-3324 | 2013-09-10 |
| 1518231596 | Woodbury Dental Arts Pa | Dentist | 2070 Eagle Creek Ln, Woodbury, MN 55129-3216 | 2012-03-08 |
| 1134497621 | Alan Jeffrey Wilensky | Dentist | 2 Hunters Run, Woodbury, NY 11797-1100 | 2011-12-12 |
| Find all providers in WOODBURY | ||||
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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.