ADVANTAGE DENTAL GROUP, LLC (NPI# 1568674331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568674331 |
| Entity Type | Organization |
| Organization Name | ADVANTAGE DENTAL GROUP, LLC |
| Practice Address |
339 Flanders Rd Suite 105 East Lyme CT 06333 |
| Practice Telephone | 8606910025 |
| Mailing Telephone | 8606910025 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2009-09-25 |
| Authorized Official Name | ERIN R VAN LEW (OFFICE MANAGER) |
| Authorized Official Telephone | 8606910025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
7928 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760696595 | Advantage Dental Group, LLC | Dentist | 391 Norwich Westerly Rd, Unit 2 G, North Stonington, CT 06359 | 2007-05-10 |
| 1649482324 | Advantage Dental Group, LLC | Dentist | 1 Clinic Dr, Norwich, CT 06360 | 2007-05-04 |
| Street Address |
339 FLANDERS RD SUITE 105 |
| City | EAST LYME |
| State | CT |
| Zip Code | 06333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811994510 | Peter John Famiglietti | Ophthalmology | 339 Flanders Rd, Suite 109, East Lyme, CT 06333-1700 | 2005-07-07 |
| 1174137384 | Kelsey Murphy | Speech-Language Pathologist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-09-04 |
| 1174136758 | Jaclyn Elizabeth Kornegay | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-25 |
| 1073126496 | Michelle Williamson | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-25 |
| 1588276422 | Kathleen Corcoran Karlberg | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-21 |
| 1386256576 | Sung Park | Physical Therapist | 339 Flanders Rd, East Lyme, CT 06333-1700 | 2020-08-19 |
| 1245584515 | David R. Lopriore | Acupuncturist | 339 Flanders Rd, Latimer Brook Commons Unit 107, East Lyme, CT 06333-1700 | 2012-11-07 |
| 1538352257 | Peter J. Famiglietti, M.d. | Specialist | 339 Flanders Rd, Suite 109, East Lyme, CT 06333-1700 | 2007-08-27 |
| 1629299896 | Sajjad A Khan | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333 | 2007-05-02 |
| 1437271533 | Archana Karanki | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333-1700 | 2007-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720575541 | Alaina Anne King | Counselor | 315 Flanders Rd Ste A, East Lyme, CT 06333 | 2018-04-17 |
| 1477861391 | Hong Qi | Acupuncturist | 26 Sandpiper Lane, East Lyme, CT 06333 | 2010-09-14 |
| 1124164777 | Maureen Lynn Spitzer | Psychiatry & Neurology | 15 Chesterfield Road, Suite 212, East Lyme, CT 06333 | 2007-01-30 |
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1164534384 | Kim Shepardson Watson | Social Worker | 29 Chesterfield Rd, East Lyme, CT 06333 | 2006-09-01 |
| 1033125323 | James Anthony Dyer | Dentist | 131 Boston Post Road, East Lyme, CT 06333 | 2006-07-31 |
| 1467484337 | Stop and Shop Supermarket Co LLC | Pharmacy | 248 Flanders Road, East Lyme, CT 06333 | 2006-07-07 |
| 1902849839 | Carol A Thompson | Marriage & Family Therapist | 29 Chesterfield Road, East Lyme, CT 06333 | 2006-06-14 |
| 1629452156 | Amie Frederick | Physician Assistant | 305 Flanders Rd, East Lyme, CT 06333 | 2015-07-15 |
| Find all providers in zip 06333 | ||||
| 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 |
|---|---|---|---|---|
| 1265599278 | Joseph Anthony Palumbo | Dentist | 15 Church Lane, East Lyme, CT 06333 | 2007-01-02 |
| 1942361654 | Debra Kaufman Daren | Dentist | 131 Boston Post Rd., East Lyme, CT 06333 | 2006-12-13 |
| 1699783753 | Arnold Emery Benak Jr. | Dentist | 317 Flanders Rd, Suites 204-205, East Lyme, CT 06333-1711 | 2006-08-04 |
| 1053337519 | Phillip Stephen Zelmanow | Dentist | 319 Flanders Rd, East Lyme, CT 06333-1711 | 2006-07-15 |
| 1083244602 | Zelmanow Dental LLC | Dentist | 319 Flanders Rd, East Lyme, CT 06333-1711 | 2020-01-23 |
| 1396390951 | Resolute Flanders LLC | Dentist | 131 Boston Post Rd, East Lyme, CT 06333-1605 | 2019-08-09 |
| 1629299896 | Sajjad A Khan | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333 | 2007-05-02 |
| 1437271533 | Archana Karanki | Dentist | 339 Flanders Rd, Suite 105, East Lyme, CT 06333-1700 | 2007-04-06 |
| 1487774972 | James Edward Robson | Dentist | 15 Chesterfield Rd, Suite 208, East Lyme, CT 06333-1730 | 2007-03-30 |
| 1558447458 | John W Stahl | Dentist | 317 Flanders Rd, East Lyme, CT 06333-1711 | 2006-10-31 |
| Find all providers in EAST LYME | ||||
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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.