DR. DENTAL OF CHURCH STREET, PC (NPI# 1578955860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578955860 |
| Entity Type | Organization |
| Organization Name | DR. DENTAL OF CHURCH STREET, PC |
| Practice Address |
89 Church St New Haven CT 06510-3009 |
| Mailing Address |
55 Meridian St East Boston MA 02128-1959 |
| Practice Telephone | 6178232111 |
| Mailing Telephone | 6178232111 |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |
| Authorized Official Name | MR. ALEX FAIGEL (MANAGING DIRECTOR) |
| Authorized Official Telephone | 6178232111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
CT | Dental Providers |
| Street Address |
89 CHURCH ST |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06510-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760850176 | Reefat Malhotra | Dentist | 89 Church St, New Haven, CT 06510-3009 | 2015-09-02 |
| 1114394863 | Chi Cheung | Dentist | 89 Church St, New Haven, CT 06510-3009 | 2015-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336757319 | Matthew Peter O'connell | Pharmacist | 55 Park Street, Lower Level, Department of Pharmacy, New Haven, CT 06510 | 2020-07-16 |
| 1477171460 | Huy Henry Le | Pharmacist | 20 York Street, Ps-ll, New Haven, CT 06510 | 2020-07-07 |
| 1144855263 | Daniel Jacobs | Student in an Organized Health Care Education/Training Program | 367 Cedar Street, Bldg. D, Student Affairs Office, New Haven, CT 06510 | 2020-03-09 |
| 1346898467 | Cem Cengiz | Internal Medicine | Tobb Etu Hastanesi, Yasam Cad. No.5 Sogutozu, Ankara, TURKEY 06510 | 2019-09-02 |
| 1295292290 | Emily Elizabeth Samuel | Counselor | 40 Temple Street, Ste 7c, Yale Child Outpatient Clinic, New Haven, CT 06510 | 2019-02-26 |
| 1639652779 | Laura Goldblum | Social Worker | 1450 Chapel Childrens Hospital, 1450 Chapel Street, New Haven, CT 06510 | 2018-09-14 |
| 1477049138 | Joseph Lawrence Earles | Otolaryngology | Yale Physicians Building, 800 Howard Ave., 4th Floor, New Haven, CT 06510 | 2018-07-06 |
| 1508356759 | Rebecca Anne Beagan | Student in an Organized Health Care Education/Training Program | 20 York Street- Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1104316405 | Emma Sophie Taylor-salmon | Student in an Organized Health Care Education/Training Program | 20 York Street - Pediatrics, New Haven, CT 06510 | 2018-05-14 |
| 1376033563 | Wael S Ibrahim | Student in an Organized Health Care Education/Training Program | 20 York Street, Ynnh - Tompkins 226, New Haven, CT 06510 | 2018-05-14 |
| Find all providers in zip 06510 | ||||
| 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 |
|---|---|---|---|---|
| 1962952606 | Lodestar Dental LLC | Dentist | 474 Foxon Blvd, New Haven, CT 06513-2329 | 2016-10-05 |
| 1487019121 | L&m Family Dentistry LLC | Dentist | 136 Sherman Ave Ste 104, New Haven, CT 06511-5210 | 2015-12-23 |
| 1457767931 | Chapel Street Dental P.C. | Dentist | 806 Chapel St, New Haven, CT 06510-3104 | 2014-07-07 |
| 1982034658 | Fair Haven Dental LLC | Dentist | 214 Grand Ave, New Haven, CT 06513-3721 | 2013-11-17 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1427320407 | Karine Calixte | Dentist | 1 Long Wharf Dr Fl 4, New Haven, CT 06511 | 2012-02-06 |
| 1235425133 | Christopher Matthew Kinslow | Dentist | 262 Grand Ave, New Haven, CT 06513-3723 | 2011-06-20 |
| 1174853956 | Smartdental LLC | Dentist | 1045 Whalley Ave, New Haven, CT 06515-1787 | 2009-12-30 |
| 1356586234 | Regina A Niekrash | Dentist | 65 Anderson St, New Haven, CT 06511-2537 | 2008-12-08 |
| 1548472970 | Monica Alvyra Slack-haynes | Dentist | 7 Kimberly Ave, New Haven, CT 06519-2411 | 2007-05-06 |
| Find all providers in NEW HAVEN | ||||
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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.