CONNECTICUT DENTAL GROUPS (NPI# 1548339864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548339864 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT DENTAL GROUPS |
| Other Organization Name | WINDHAM DENTAL GROUP |
| Practice Address |
1671 W Main St Willimantic CT 06226 |
| Practice Telephone | 8604563153 |
| Practice Fax Number | 8604568759 |
| Mailing Telephone | 8604563153 |
| Mailing Fax Number | 8604568759 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. NICOLINA SOUCY (GENERAL MANAGER) |
| Authorized Official Telephone | 8604563153 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Windham Dental Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457420770 | Connecticut Dental Groups | Dentist | 1100 Poquonnock Rd, Groton, CT 06340 | 2006-11-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | CONNECTICUT DENTAL GROUPS, P.C. | C/o Connecticut Dental Groups, P.C., 1671 Main St., Willimantic, CT 06226 |
| Street Address |
1671 W MAIN ST |
| City | WILLIMANTIC |
| State | CT |
| Zip Code | 06226 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588797419 | Dennis F Flanagan | Dentist | 1671 W Main St, Willimantic, CT 06226 | 2007-03-13 |
| 1144353061 | Arthur Bruce Dougherty | Dentist | 1671 W Main St, Willimantic, CT 06226 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669962163 | Nutmeg Neuropsychology LLC | Psychologist | 322 Main St Ste 2e-1o, Willimantic, CT 06226 | 2018-05-10 |
| 1104344365 | Taylor Girard | Social Worker | 54-56 Boston Post Road, Willimantic, CT 06226 | 2017-09-07 |
| 1194268490 | Donald Diange | Pharmacist | 1391 Main Street, Willimantic, CT 06226 | 2016-11-18 |
| 1386988954 | Gale K Lockland | Psychologist | 112 Mansfield Avenue, Windham Community Memorial Hospital, Willimantic, CT 06226 | 2012-11-20 |
| 1831343060 | Carlita R Baldwin | Counselor | 366 Ash Street, Unit 4, Willimantic, CT 06226 | 2008-11-14 |
| 1023211190 | Joel Lee Reinholtz | Physical Therapy Assistant | 595 Valley Street, Windham, CT 06226 | 2007-06-07 |
| 1265654719 | Mcsweeney Regional Senior Center | Clinic/Center | 47 Crescent St, Willimantic, CT 06226 | 2007-05-03 |
| 1912012964 | John Wescott Stevens | Dentist | 1581 W Main St, Willmantic, CT 06226 | 2006-08-20 |
| 1801802756 | Kathryn Nelson | Family Medicine | 355 High Street, Willimantic, CT 06226 | 2006-07-31 |
| 1710914379 | The Foot Group, LLC | Podiatrist | 162 A Mansfield Ave, Willimantic, CT 06226 | 2006-06-27 |
| Find all providers in zip 06226 | ||||
| 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 |
|---|---|---|---|---|
| 1194267781 | Radianz Dental PC | Dentist | 1212 Main St Unit B, Willimantic, CT 06226-1908 | 2016-11-14 |
| 1184635849 | Mark Louis Longobardi | Dentist | 169 Valley St, Willimantic, CT 06226-2428 | 2006-08-10 |
| 1639715766 | Willimantic Smiles, LLC | Dentist | 720 Main St, Willimantic, CT 06226-2648 | 2019-11-25 |
| 1851688584 | Jason Hernandez | Dentist | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2011-07-01 |
| 1700197928 | Sheela Elias | Dentist | 40 Mansfield Ave, Willimantic, CT 06226-2018 | 2010-06-23 |
| 1801036058 | New Way Dental Svcs LLC | Dentist | 886 Main St, Suite 2, Willimantic, CT 06226-2340 | 2009-02-28 |
| 1659548477 | Michael Daniel Crawford Jr. | Dentist | 1185 Main St, Suite #3, Willimantic, CT 06226-2093 | 2008-05-12 |
| 1841312147 | Barrant Wyatt Nelson | Dentist | 1185 Main St, Willimantic, CT 06226-2093 | 2007-04-06 |
| 1497870620 | Gary L Berman | Dentist | 720 Main St, Willimantic, CT 06226-2604 | 2007-03-20 |
| 1033234141 | Sebastian R Lombardi | Dentist | 720 Main St, Willimantic, CT 06226-2604 | 2007-03-20 |
| Find all providers in WILLIMANTIC | ||||
| City | WILLIMANTIC |
| Zip Code | 06226 |
Please comment or provide details below to improve the information on CONNECTICUT DENTAL GROUPS.
| 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.