ADVANCED ENDODONTICS OF CT PC (NPI# 1558327684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558327684 |
| Entity Type | Organization |
| Organization Name | ADVANCED ENDODONTICS OF CT PC |
| Practice Address |
546 S Broad St Suite 3b Meriden CT 06650 |
| Mailing Address |
546 S Broad Street Suite 3b Meriden CT 06450 |
| Practice Telephone | 2032377449 |
| Practice Fax Number | 2032371234 |
| Mailing Telephone | 2032377449 |
| Mailing Fax Number | 2032371234 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | KENNETH S CHASEN (PRESIDENT) |
| Authorized Official Telephone | 2032377449 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223E0200X |
Dentist Specialization: Endodontics |
4689 | CT | Dental Providers |
| N | 1223E0200X |
Dentist Specialization: Endodontics |
9031 | CT | Dental Providers |
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
7884 | CT | Dental Providers |
| Street Address |
546 S BROAD ST SUITE 3B |
| City | MERIDEN |
| State | CT |
| Zip Code | 06650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526225 | Alexis Cable | Speech-Language Pathologist | 1064 E Main St Fl 3, Meriden, CT 06450-4898 | 2020-10-20 |
| 1164039004 | Megan Gervais | Social Worker | 34 Runge Dr, Meriden, CT 06451-2769 | 2020-09-24 |
| 1639784358 | Laura Sanford | Counselor | 107 Godek Hill Rd, Meriden, CT 06451-5081 | 2020-09-10 |
| 1104439009 | Breonna Arnum | Marriage & Family Therapist | 153 Dexter Ave, Meriden, CT 06450-6112 | 2020-08-28 |
| 1740891183 | Gardy Theodore | Specialist/Technologist | 546 S Broad St Ste 2f, Meriden, CT 06450-6601 | 2020-08-10 |
| 1750991303 | Lana Chapman | Physician Assistant | 289 Curtis St Apt 2, Meriden, CT 06450-5910 | 2020-08-07 |
| 1780292573 | Karen Silva | Marriage & Family Therapist | 52 Douglas Dr, Meriden, CT 06451-5016 | 2020-07-17 |
| 1427670546 | Charlene Kalinowski | Nurse Practitioner | 455 Lewis Ave Ste 221, Meriden, CT 06451-2121 | 2020-05-12 |
| 1093336638 | Andrea Ball | Registered Nurse | 211 Pomeroy Ave Apt 2201, Meriden, CT 06450-1766 | 2020-05-06 |
| 1538788997 | Amanda Lavorgna | Marriage & Family Therapist | 816 Broad St Ste 23a, Meriden, CT 06450-4350 | 2020-04-15 |
| Find all providers in MERIDEN | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366655037 | Kenneth Chasen | Dentist | 546 S Broad St, Suite 3b, Meriden, CT 06450-6600 | 2007-05-08 |
| 1104048016 | Andrea Gentile-fiori | Dentist | 546 S Broad St, Suite 3b, Meriden, CT 06450-6600 | 2007-05-02 |
| 1982825378 | Joel B Chasen | Dentist | 546 S Broad St, Suite 3b, Meriden, CT 06450-6600 | 2007-05-01 |
| 1992856736 | Joshua Lyman Dembsky | Dentist | 546 S Broad St, Suite 3b, Meriden, CT 06450-6600 | 2007-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073041489 | Endodontic Solutions LLC | Dentist | 19 Ensign Dr, Avon, CT 06001-3705 | 2017-05-30 |
| 1871937359 | Lester C Reid | Dentist | 225 N Main St Ste 209, Bristol, CT 06010-4993 | 2013-04-26 |
| 1225399108 | Endodontic Specialists LLC | Dentist | 2 Chucrh St # 670, Ellington, CT 06029-0670 | 2012-06-06 |
| 1669751939 | Professional Endodontics Ll | Dentist | 70 Howard St, Suite B, New London, CT 06320-4937 | 2011-08-04 |
| 1538392170 | Wolcott Street Dental-2, PC | Dentist | 144 Boston Ave, Bridgeport, CT 06610-1604 | 2009-08-31 |
| 1134359623 | Wolcott Street Dental-2, PC | Dentist | 728 Wolcott Street, Waterbury, CT 06705 | 2009-07-20 |
| 1568603934 | Wolcott Street Dental-1, PC | Dentist | 531 Elm St, New Haven, CT 06511-4549 | 2009-03-16 |
| 1952548208 | Rachele Luciano | Dentist | 366 Middle Tpke W, Manchester, CT 06040-3824 | 2009-01-08 |
| 1912156514 | Care Endodontics, P.C. | Dentist | 436 Farmington Ave, Hartford, CT 06105-4423 | 2008-09-18 |
| 1295993269 | New England Dental | Dentist | 54 Main St # F, Danbury, CT 06810-3009 | 2008-05-27 |
| 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.