DESIREE NICOLE OUTLAW


Address: 94 Connecticut Blvd, East Hartford, CT 06108-3013
Phone: 8606106348

DESIREE NICOLE OUTLAW (NPI# 1538644471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538644471
Entity Type Individual
Full Name DESIREE NICOLE OUTLAW
Other Name DESIREE NICOLE BRYANT
Credential DDS
Practice Address 94 Connecticut Blvd
East Hartford
CT 06108-3013
Mailing Address 22 Liberty Sq Apt 381
Bloomfield
CT 06002-5407
Practice Telephone 8606106348
Mailing Telephone 3013256412
Enumeration Date 2018-09-26
Last Update Date 2020-07-23
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 122300000X Dentist 12817 CT Dental Providers
N 1223G0001X Dentist
Specialization: General Practice
060129 NY Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT DENTAL LICENSE 12817 01

Other Providers DESIREE OUTLAW

NPI Name Taxonomy Address Enumeration
1790051910 Desiree Outlaw Nurse Practitioner 85 W Burnside Ave, Bronx, NY 10453-4015 2012-04-02

Office Location

Street Address 94 CONNECTICUT BLVD
City EAST HARTFORD
State CT
Zip Code 06108-3013

Providers in the same location

NPI Name Taxonomy Address Enumeration
1326049172 Cynthia Goetz Advanced Practice Midwife 94 Connecticut Blvd, East Hartford, CT 06108-3013 2005-08-02
1639788227 Sarah Dottor Social Worker 94 Connecticut Blvd, East Hartford, CT 06108-3013 2020-07-29
1265068365 Stacie Meisner Physician Assistant 94 Connecticut Blvd, East Hartford, CT 06108-3013 2020-03-20
1184257701 Nathalie Marie Mcconnell Advanced Practice Midwife 94 Connecticut Blvd, East Hartford, CT 06108-3013 2020-02-21
1124669437 Alison Howard Registered Nurse 94 Connecticut Blvd, East Hartford, CT 06108-3013 2019-10-08
1538700422 Araceli Garcia Registered Nurse 94 Connecticut Blvd, East Hartford, CT 06108-3013 2019-10-02
1043866809 Konstantia Evangelia Papapateras Dietitian, Registered 94 Connecticut Blvd, East Hartford, CT 06108-3013 2019-08-16
1013577147 Sheila Ann Sutton Registered Nurse 94 Connecticut Blvd, East Hartford, CT 06108-3013 2019-06-20
1790262079 Ritika Bansal Dentist 94 Connecticut Blvd, East Hartford, CT 06108-3013 2018-07-19
1043726904 Kristina Agranat Nurse Practitioner 94 Connecticut Blvd, East Hartford, CT 06108-3013 2017-12-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003437435 Decent Homecare Services LLC Homemaker 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 2020-04-27
1164055810 First Choice Health Center Inc Durable Medical Equipment & Medical Supplies 110 Connecticut Blbd, East Hartford, CT 06108 2020-02-20
1457848731 Heavenly Care LLC Home Health 35 Greene Terrace, East Hartford, CT 06108 2018-04-22
1750894275 Thamara Vanessa Jonathas Nurse Practitioner 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 2017-11-06
1851802474 Empathic Care Counseling LLC Counselor 357 East Center Street, Manchester, CT 06108 2017-10-23
1235654427 Kacey Megquier Specialist/Technologist 132 Arbutus Street, East Hartford, CT 06108 2017-08-08
1225559826 First Choice Health Centers, Inc. Clinic/Center 809 Main Street, East Hartford, CT 06108 2017-07-05
1205361599 Freda Osei-parker Pharmacist 16a Saint Regis Street, East Hartford, CT 06108 2017-04-25
1831648740 Marcia Loving Care Home Care Agency Home Health 23 Bidwell Street, East Hartford, CT 06108 2016-10-04
1770932642 First Choice Health Centers, Inc. Clinic/Center 92 Connecticut Boulevard, East Hartford, CT 06108 2016-06-10
Find all providers in zip 06108

Taxonomy Information

Taxonomy Code 122300000X
Grouping Dental Providers
Classification Dentist

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1285921015 Nhung Tran Dentist 76 Manning Ln, East Hartford, CT 06118-1614 2011-06-30
1558519306 Anthony Dominick Dinardo Dentist 65 Conn Blvd, East Hartford, CT 06108 2008-09-05
1568685352 Michael K Hwang Dentist 1175 Main St, East Hartford, CT 06108-2245 2007-04-10
1740313014 Mark Julian Roth Dentist 53 Connecticut Blvd, East Hartford, CT 06108-3055 2007-03-14
1205931805 Rober Alan Katz Dentist 270 Burnside Ave, East Hartford, CT 06108-2315 2006-09-14
1568949345 Michael David Katz Dentist 270 Burnside Ave, East Hartford, CT 06108-2315 2018-07-24
1790262079 Ritika Bansal Dentist 94 Connecticut Blvd, East Hartford, CT 06108-3013 2018-07-19
1801275086 Shrushti Gosar Dentist 94 Connecticut Blvd, East Hartford, CT 06108-3013 2015-05-21
1013313915 Chiradip Kar Dentist 593 Burnside Ave, East Hartford, CT 06108-3537 2014-11-05
1396151445 Elizabeth Boig Dentist 94 Connecticut Blvd, East Hartford, CT 06108-3013 2014-07-09
Find all providers in EAST HARTFORD

Competitor

Search similar providers

City EAST HARTFORD
Zip Code 06108

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Dataset Information

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.

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