CHARTER OAK DENTAL CENTER LL LLC (NPI# 1619440732) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619440732 |
| Entity Type | Organization |
| Organization Name | CHARTER OAK DENTAL CENTER LL LLC |
| Practice Address |
165 East Main Street New Britain CT 06051 |
| Practice Telephone | 8602240797 |
| Practice Fax Number | 8602240799 |
| Mailing Telephone | 8602240797 |
| Mailing Fax Number | 8602240799 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Authorized Official Name | ANGELINA BLANKSCHEN (ADMINISTRATOR) |
| Authorized Official Telephone | 8609970569 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | CONNECTICUT DENTAL LICENSE | 11063 | 01 |
| Street Address |
165 EAST MAIN STREET |
| City | NEW BRITAIN |
| State | CT |
| Zip Code | 06051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831733062 | Alpha Dental Pllc | Dentist | 165 East Main Street, New Britain, CT 06051 | 2019-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861956211 | Diligent Service Providers LLC | Non-emergency Medical Transport (VAN) | 110 Austin St, New Britain, CT 06051 | 2019-01-29 |
| 1891243200 | Dora Avila | Contractor | 1270 Stanley Street, New Britain, CT 06051 | 2016-09-14 |
| 1972904779 | Jillian Mcnally | Social Worker | 270 John Downey Drive, New Britain, CT 06051 | 2014-09-11 |
| 1174931539 | Human Resources Agency of New Britain, Inc. | Community/Behavioral Health | 83 Whiting Street, New Britain, CT 06051 | 2014-07-30 |
| 1063847127 | Jessica Annette Antunes | Counselor | 55 Wintrop St, New Briain, CT 06051 | 2013-09-09 |
| 1902196991 | John J Widlak | Dentist | 35 Pearl St., New Britain, CT 06051 | 2011-04-12 |
| 1568691178 | Farah I Khan | Dentist | 105 Myrtle Avenue, New Britain, CT 06051 | 2009-07-06 |
| 1619114410 | Patricia Blecich Dobie | Counselor | 321 Ellis Street, Ste 3, Today's Youth, LLC, New Britain, CT 06051 | 2009-01-15 |
| 1669627568 | Claudia Ripinski Janusko | Audiologist | 292 West Main St., Grove Hill Medical Center, New Britain, CT 06051 | 2008-11-20 |
| 1033396569 | John Stepensky | Technician/Technologist | 513 South Main St., New Britain, CT 06051 | 2008-01-28 |
| Find all providers in zip 06051 | ||||
| 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 |
|---|---|---|---|---|
| 1285925362 | West Main Dental PC | Dentist | 87 W Main St, West Main Dental PC, New Britain, CT 06051-2216 | 2011-04-25 |
| 1902196991 | John J Widlak | Dentist | 35 Pearl St., New Britain, CT 06051 | 2011-04-12 |
| 1013158484 | Wolcott Street Dental-1, PC | Dentist | 105 Myrtle Street, New Britain, CT 06051-1825 | 2009-03-16 |
| 1255598090 | Edward R Dipaul | Dentist | 433 W Butler Ave, New Britain, PA 18901-5113 | 2008-05-20 |
| 1891914750 | Teresa W Ciechanowski | Dentist | 393 W Main St, New Britain, CT 06052-1329 | 2007-04-25 |
| 1306992417 | Dennis Paul Schweitzer | Dentist | 32 Cedar St, New Britain, CT 06052-1302 | 2007-01-25 |
| 1568522159 | Eric L. Gladstein | Dentist | 70 Vine St, New Britain, CT 06052-1431 | 2006-12-12 |
| 1487669891 | Nancy Kelly Treiber | Dentist | 601 Farmington Ave, New Britain, CT 06053-1943 | 2006-07-31 |
| 1003459140 | Melissa Ceresi Dmd PC | Dentist | 960 Town Ctr, New Britain, PA 18901-5182 | 2019-10-22 |
| 1538641873 | Acer Dental LLC | Dentist | 96 E Main St, New Britain, CT 06051-1944 | 2018-09-04 |
| Find all providers in NEW BRITAIN | ||||
| City | NEW BRITAIN |
| Zip Code | 06051 |
Please comment or provide details below to improve the information on CHARTER OAK DENTAL CENTER LL LLC.
| 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.