DR. STEPHEN RUDOLPH QUATROCELLI (NPI# 1609928704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609928704 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN RUDOLPH QUATROCELLI |
| Credential | D.M.D. |
| Practice Address |
360 Tolland Tpke Suite 2a Manchester CT 06042-1771 |
| Practice Telephone | 8606464811 |
| Practice Fax Number | 8606450882 |
| Mailing Telephone | 8606464811 |
| Mailing Fax Number | 8606450882 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
5162 | CT | Dental Providers |
| Street Address |
360 TOLLAND TPKE SUITE 2A |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-1771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430219 | Lancelot P Morgan | Physician Assistant | 360 Tolland Tpke, 3c, Manchester, CT 06042-1771 | 2005-07-13 |
| 1205285814 | Vanessa Kristine Romero | Physician Assistant | 360 Tolland Tpke, Suite 1e, Manchester, CT 06042-1771 | 2016-06-06 |
| 1407265978 | Marissa Caye Carignan | Physician Assistant | 360 Tolland Tpke, Suite 1e, Manchester, CT 06042-1771 | 2014-08-08 |
| 1619393337 | Ptsma Inc | Clinic/Center | 360 Tolland Tpke, Suite 2e, Manchester, CT 06042-1771 | 2014-03-06 |
| 1578805164 | John James Griffith | Urology | 360 Tolland Tpke, Manchester, CT 06042 | 2013-03-21 |
| 1881930824 | Jessie R Mcmanus | Nurse Practitioner | 360 Tolland Tpke, Suite 2c, Manchester, CT 06042-1771 | 2012-12-19 |
| 1598053803 | Brian Kelly | Surgery | 360 Tolland Tpke, Suite 1a, Manchester, CT 06042-1771 | 2011-07-20 |
| 1528240108 | Gastroenterology Associates of Manchester, LLC | Nurse Practitioner | 360 Tolland Tpke, Suite 2c, Manchester, CT 06042-1771 | 2007-12-05 |
| 1881884641 | Buckland Ear Nose & Throat LLC | Specialist/Technologist | 360 Tolland Tpke, Suiter 1e, Manchester, CT 06042-1771 | 2007-07-27 |
| 1679629489 | Monroe Heyward Rackow | Dentist | 360 Tolland Tpke, Suite 2a, Manchester, CT 06042-1771 | 2007-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| 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 |
|---|---|---|---|---|
| 1952548208 | Rachele Luciano | Dentist | 366 Middle Tpke W, Manchester, CT 06040-3824 | 2009-01-08 |
| 1861594913 | Michael Marshall | Dentist | 765 S Main St Ste 301, Dartmouth Commons, Manchester, NH 03102-5141 | 2006-09-01 |
| 1639112980 | David L Vreeland | Dentist | 14397 Manchester Rd, Manchester, MO 63011-4091 | 2006-06-14 |
| 1679629489 | Monroe Heyward Rackow | Dentist | 360 Tolland Tpke, Suite 2a, Manchester, CT 06042-1771 | 2007-01-25 |
| 1942352059 | Connecticut Endodontic Associates P.C. | Dentist | 360 Tolland Tpke, Suite2a, Manchester, CT 06042-1771 | 2007-01-17 |
| 1669481669 | Peter D. Tziros | Dentist | 1650 Elm St, Suite 403, Manchester, NH 03101-1217 | 2006-08-07 |
| 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 |
| 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 |
| 1053587592 | Philip Ralph Mascia | Dentist | 360 Federal Rd, Brookfield, CT 06804-2426 | 2008-05-05 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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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.