COMPLETE PREVENTIVE DENTISTRY INC (NPI# 1598810640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598810640 |
| Entity Type | Organization |
| Organization Name | COMPLETE PREVENTIVE DENTISTRY INC |
| Practice Address |
888 White Plains Rd Trumbull CT 06611-4552 |
| Practice Telephone | 2032685881 |
| Practice Fax Number | 2032684054 |
| Mailing Telephone | 2032685881 |
| Mailing Fax Number | 2032684054 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JEFFREY A. BABUSHKIN (DENTIST PRESIDENT) |
| Authorized Official Telephone | 2032685881 |
| Authorized Official Credential | DDS FAGD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
7037 | CT | Ambulatory Health Care Facilities |
| Street Address |
888 WHITE PLAINS RD |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611-4552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093703522 | Anita J Eisenhauer | Specialist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2005-10-10 |
| 1831749753 | Christine Valente | Physical Therapist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2019-09-12 |
| 1093273823 | Tara Jill Babushkin | Dentist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2019-03-11 |
| 1881100634 | Michael Victor Dias | Specialist/Technologist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2017-12-15 |
| 1194274746 | Kaitlyn Nadler | Specialist/Technologist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2016-09-23 |
| 1922552991 | Jenna Rousso | Specialist/Technologist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2016-08-08 |
| 1558748996 | Nemg Gastroenterology LLC | Clinic/Center | 888 White Plains Rd, Suite 210, Trumbull, CT 06611-4552 | 2015-05-06 |
| 1366848228 | Erika Schramm | Physical Therapist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2014-11-05 |
| 1952719965 | Benjamin George Barnes | Chiropractor | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2014-07-23 |
| 1538455670 | Timothy Holzhauer | Dentist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2011-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730736216 | Pearl Dental of Trumbull, Pllc | Clinic/Center | 140 Monroe Tpke Unit C, Trumbull, CT 06611-1357 | 2019-08-20 |
| 1144767278 | University of New Haven | Clinic/Center | 27 October Ln, Trumbull, CT 06611-1649 | 2017-01-26 |
| 1144653403 | Trumbull Orthodonics | Clinic/Center | 126 Monroe Tpke, Trumbull, CT 06611-1300 | 2013-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528674728 | North Main Dental Group LLC | Clinic/Center | 225 N Main St Ste 210, Bristol, CT 06010-4993 | 2020-09-22 |
| 1790397776 | Best Way Dental Services, LLC | Clinic/Center | 886 Main St Ste B, Willimantic, CT 06226-2340 | 2020-08-20 |
| 1194357418 | Bolton Lake Dental LLC | Clinic/Center | 1120 Boston Tpke, Bolton, CT 06043-7439 | 2020-02-05 |
| 1124669924 | Dental Essentials of Rocky Hill | Clinic/Center | 2301 Silas Deane Hwy # 2, Rocky Hill, CT 06067-2330 | 2019-10-02 |
| 1134774953 | Ezra Friedman Dds | Clinic/Center | 464 Wolcott Rd Ste 2, Wolcott, CT 06716-2626 | 2019-08-08 |
| 1790343051 | Madison Dental Spa | Clinic/Center | 90 Wall St Ste 100, Madison, CT 06443-3128 | 2019-06-03 |
| 1730644212 | Resolute Cross Road LLC | Clinic/Center | 112 Cross Rd, Waterford, CT 06385-1204 | 2019-02-08 |
| 1861966954 | James S Bauer Dmd Incorporated | Clinic/Center | 40 Main St N Ste E, Woodbury, CT 06798-2966 | 2019-01-11 |
| 1821568650 | Parkway Dental Np LLC | Clinic/Center | 1869 Dixwell Ave Ste 4, Hamden, CT 06514-3145 | 2018-12-05 |
| 1821565128 | Springdale Dental Group | Clinic/Center | 1081 Hope St Ste A, Stamford, CT 06907-1824 | 2018-10-25 |
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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.