CHILDRENS DENTISTRY OF TRUMBULL, PC (NPI# 1538558622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538558622 |
| Entity Type | Organization |
| Organization Name | CHILDRENS DENTISTRY OF TRUMBULL, PC |
| Practice Address |
999 Silver Ln 2d Trumbull CT 06611-5343 |
| Mailing Address |
5211 Madison Ave Trumbull CT 06611-1040 |
| Practice Telephone | 2035901588 |
| Mailing Telephone | 2037673798 |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-04-29 |
| Authorized Official Name | DR. SARA ISABEL YSAAC-GARCIA (OWNER) |
| Authorized Official Telephone | 2037673798 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10994 | CT | Dental Providers |
| Street Address |
999 SILVER LN 2D |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-5343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123797 | Robert Deal | Obstetrics & Gynecology | 999 Silver Ln, Ste 2a, Trumbull, CT 06611-5343 | 2005-06-10 |
| 1831633379 | Chalina Kamrasyid | Nurse Practitioner | 999 Silver Ln, 3rd Floor, Trumbull, CT 06611-5343 | 2016-12-16 |
| 1962761395 | Kathleen Marie Lemma | Nurse Practitioner | 999 Silver Ln, 3rd Floor, Trumbull, CT 06611-5343 | 2012-05-04 |
| 1194038224 | Vidhya Rao | Internal Medicine | 999 Silver Ln, 3rd Floor, Trumbull, CT 06611-5343 | 2010-07-18 |
| 1821239732 | Yakov D Melinkov | Acupuncturist | 999 Silver Ln, Trumbull, CT 06611-5343 | 2009-03-23 |
| 1992990188 | Women's Health Care, LLC | Obstetrics & Gynecology | 999 Silver Ln, Suite 2a, Trumbull, CT 06611-5343 | 2007-09-11 |
| 1710196118 | Connecticut Cardiothoracic Surgery, LLC | Surgery | 999 Silver Ln, Suite 2b, Trumbull, CT 06611-5343 | 2007-05-22 |
| 1922151695 | Healthcenter Imaging of Fairfield County LLC | Physiological Laboratory | 999 Silver Ln, Suite 1b, Trumbull, CT 06611-5343 | 2007-01-18 |
| 1164434668 | Cynthia I. Gentes | Internal Medicine | 999 Silver Ln, 3rd Floor, Trumbull, CT 06611-5343 | 2006-08-13 |
| 1306882675 | Karine Toumanian | Internal Medicine | 999 Silver Ln, 3rd Floor, Trumbull, CT 06611-5343 | 2006-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 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.