NORTHEAST DENTAL OF CONNECTICUT,PC (NPI# 1619374881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619374881 |
| Entity Type | Organization |
| Organization Name | NORTHEAST DENTAL OF CONNECTICUT,PC |
| Practice Address |
534 Shelton Ave Shelton CT 06484-2804 |
| Mailing Address |
115 W Century Rd Suite 300 Paramus NJ 07652-1450 |
| Practice Telephone | 7326108265 |
| Mailing Telephone | 7326108265 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | VIRGINIA WICKE (COO) |
| Authorized Official Telephone | 7326108265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8979 | CT | Dental Providers |
| Street Address |
534 SHELTON AVE |
| City | SHELTON |
| State | CT |
| Zip Code | 06484-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588616247 | Huntington Family Dental Group | Dentist | 534 Shelton Ave, Shelton, CT 06484-2804 | 2006-05-17 |
| 1265657779 | Huntington Dental Partnership | Dentist | 534 Shelton Ave, Shelton, CT 06484-2804 | 2007-04-17 |
| 1790909612 | Karri S Minard | Dental Hygienist | 534 Shelton Ave, Shelton, CT 06484-2804 | 2007-04-12 |
| 1568588036 | Maria Cipriano-defiore | Dental Hygienist | 534 Shelton Ave, Shelton, CT 06484-2804 | 2007-03-22 |
| 1518083146 | Monica B Mauri | Dental Hygienist | 534 Shelton Ave, Shelton, CT 06484-2804 | 2007-03-22 |
| 1073639514 | Alisha Erickson | Dental Hygienist | 534 Shelton Ave, Shelton, CT 06484-2804 | 2007-03-22 |
| 1558408518 | Salvatore Graziano | Dentist | 534 Shelton Ave, Shelton, CT 06484-2804 | 2007-01-31 |
| 1245377225 | R. Gregory Egnaczyk | Dentist | 534 Shelton Ave, Shelton, CT 06484-2804 | 2007-01-31 |
| 1770620767 | Arthur Adams | Dentist | 534 Shelton Ave, Shelton, CT 06484-2804 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255949517 | Judy Ports | Speech-Language Pathologist | 100 Bear Sawmill Rd, Shelton, CT 06484 | 2020-07-22 |
| 1144793340 | Theodore N. Zengou | Pharmacist | 875 Bridgeport Av., Shelton, CT 06484 | 2019-01-10 |
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1477071264 | Emily Buccigross | Specialist/Technologist | 941 Constitution Blvd N, Shelton, CT 06484 | 2017-09-01 |
| 1134649643 | Margaret Grace Ferrara | Dentist | 4 Corporate Dr Ste 383, Shelton, CT 06484 | 2017-06-26 |
| 1376092007 | Qmg3 LLC | Family Medicine | 405 Bridgeport Avenue, Shelton, CT 06484 | 2016-09-22 |
| 1215316427 | Marcella N. Sancho, Lcsw, LLC | Social Worker | 4 Research Drive, Suite 402, Shelton, CT 06484 | 2015-05-20 |
| 1578987483 | Lisa Sych | Speech-Language Pathologist | 584 Long Hill Avenue- Bishop Wicke Health Center, Shelton, CT 06484 | 2014-02-12 |
| 1073936324 | Jeanne M. Kellogg | Occupational Therapy Assistant | 36 Fairlane Dr., Shelton, CT 06484 | 2014-01-22 |
| 1851724454 | Brittany Steiner | Behavioral Analyst | 26 Pound Ridge Ave, Shelton, CT 06484 | 2013-08-19 |
| Find all providers in zip 06484 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639572977 | Thomas Vincent Phung Duffy | Dentist | 717 W. Railroad Ave., Shelton, WA 98584 | 2014-10-01 |
| 1528398179 | Allan Rex Davis | Dentist | 531 E Dana Dr, Shelton, WA 98584-7599 | 2010-01-04 |
| 1265686463 | Kyle Houston Hackney | Dentist | 1051 Se State Route 3, Shelton, WA 98584-7117 | 2008-11-14 |
| 1437207081 | John Shay Schreiber | Dentist | 639 Holly Ct, Shelton, WA 98584-1327 | 2007-01-08 |
| 1760530315 | Smile Connecticut, Pllc | Dentist | 4 Research Dr, Suite 402, Shelton, CT 06484-6212 | 2007-01-08 |
| 1255490496 | Steven Herschel Bowers | Dentist | 717 W Railroad Ave, Shelton, WA 98584 | 2006-12-06 |
| 1164500138 | Glenn A Ganz | Dentist | 76 Howe Ave, Shelton, CT 06484 | 2006-11-01 |
| 1972014744 | Shelton Dental Group LLC | Dentist | 169 Center St, Shelton, CT 06484-3241 | 2017-10-19 |
| 1649640285 | Priscila Guzman | Dentist | 185 Canal St, Apt #3102, Shelton, CT 06484-8121 | 2015-09-25 |
| 1639457070 | Nathan Donn Leiske | Dentist | 1525 Olympic Hwy N, Shelton, WA 98584-3049 | 2011-08-03 |
| Find all providers in SHELTON | ||||
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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.