STRATFORD DENTAL CARE PC (NPI# 1609886480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609886480 |
| Entity Type | Organization |
| Organization Name | STRATFORD DENTAL CARE PC |
| Practice Address |
373 Nichols Ave Stratford CT 06614 |
| Practice Telephone | 2033776418 |
| Practice Fax Number | 2033775477 |
| Mailing Telephone | 2033776418 |
| Mailing Fax Number | 2033775477 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | LEONARDO PENA-ABOSAID (PRESIDENT) |
| Authorized Official Telephone | 2033776418 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0087700 | CT | Dental Providers |
| Street Address |
373 NICHOLS AVE |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962600718 | Leonardo Pena-abosaid | Dentist | 373 Nichols Ave, Stratford, CT 06614-3905 | 2007-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| 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 |
|---|---|---|---|---|
| 1912461526 | A-smile LLC | Dentist | 937 Stratford Ave Ste 1, Stratford, CT 06615-6354 | 2019-01-28 |
| 1437344249 | Ariadni Karga | Dentist | 937 Stratford Ave, Suite 1, Stratford, CT 06615-6354 | 2007-09-14 |
| 1669674115 | Mark Lee Zamat | Dentist | 1200 Linden Ave, Stratford, CT 06615-5835 | 2007-06-05 |
| 1770615254 | Neil A Goodkind | Dentist | 3638 Main St, Stratford, CT 06614-4195 | 2007-03-11 |
| 1407918105 | Edward J. Balling | Dentist | 62 Warwick Rd, Stratford, NJ 08084-1729 | 2006-12-16 |
| 1679652531 | Harry Crisfield Brown | Dentist | 105 E Laurel Rd, Stratford, NJ 08084-1324 | 2006-11-03 |
| 1124109756 | Gerald Alan Belkin | Dentist | 2318 Main Street, Stratford, CT 06615 | 2006-10-18 |
| 1497840706 | Krystyna Zietkiewicz | Dentist | 88 Ryders Lane, Stratford, CT 06614 | 2006-10-03 |
| 1346359544 | Frank A. Ross Jr. | Dentist | 1761 W Broad St, Stratford, CT 06615-5752 | 2006-08-30 |
| 1467482661 | Jeffrey C. Hoos | Dentist | 4949 Main St, Stratford, CT 06614-1613 | 2006-07-03 |
| Find all providers in STRATFORD | ||||
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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.