DR. DANETTE RISO ILLIG (NPI# 1629045851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629045851 |
| Entity Type | Individual |
| Full Name | DR. DANETTE RISO ILLIG |
| Credential | D.M.D. |
| Practice Address |
71 East Ave Suite A Norwalk CT 06851-4903 |
| Practice Telephone | 2038385322 |
| Mailing Telephone | 2038385322 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
7995 | CT | Dental Providers |
| Street Address |
71 EAST AVE SUITE A |
| City | NORWALK |
| State | CT |
| Zip Code | 06851-4903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811970551 | Jacquelyn A Meyer | Clinical Nurse Specialist | 71 East Ave, Suite V, Norwalk, CT 06851-4903 | 2005-11-28 |
| 1275067597 | Megan Haas Nd LLC | Naturopath | 71 East Ave, Suite D, Norwalk, CT 06851-4903 | 2017-04-13 |
| 1366982571 | Megan Haas | Naturopath | 71 East Ave, Suite D, Norwalk, CT 06851-4903 | 2017-03-07 |
| 1942745591 | Brian Crouse | Acupuncturist | 71 East Ave, Suite D, Norwalk, CT 06851 | 2017-01-05 |
| 1902141559 | Rodolfo Jose Rosado | Psychologist | 71 East Ave, Suite U, Norwalk, CT 06851-4903 | 2012-12-09 |
| 1831479302 | Erica Leigh Waters | Naturopath | 71 East Ave, Suite D, Norwalk, CT 06851-4903 | 2011-08-27 |
| 1104114438 | Summer D Mcallister | Naturopath | 71 East Ave, Suite D, Norwalk, CT 06851-4903 | 2011-07-20 |
| 1144418955 | Theresa A Cutillo-schmitter | Clinical Nurse Specialist | 71 East Ave, Suite V, Norwalk, CT 06851-4903 | 2007-10-05 |
| 1063615540 | Leonard Alan Kenowitz | Counselor | 71 East Ave, Suite R, Norwalk, CT 06851-4903 | 2007-06-11 |
| 1386858793 | Margarida Caldeira-saraiva | Counselor | 71 East Ave, Suite T, Norwalk, CT 06851-4903 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144763434 | Cynthia Eliezer | Student in an Organized Health Care Education/Training Program | 120 East Ave 2nd Flr., Norwalk, CT 06851 | 2016-11-18 |
| 1356897672 | Be Balanced Naturopathic Care Center, LLC | Naturopath | 91 East Ave, Garden Level, Norwalk, CT 06851 | 2016-08-28 |
| 1861843559 | Valerie Andree Vincent | Student in an Organized Health Care Education/Training Program | 120 East Avenue-2nd Floor, Catholic Charities, Norwalk, CT 06851 | 2016-06-24 |
| 1417333758 | Laura Rebecca Nierenberg Fishman | Marriage & Family Therapist | 161 East Avenue, Suite 101, Norwalk, CT 06851 | 2015-08-10 |
| 1487085411 | Danielle Christine Boland | Social Worker | 206 Wolfpit Avenue, Norwalk, CT 06851 | 2013-12-02 |
| 1427485846 | Michelle Clement | Technician/Technologist | 650 Main Avenue, Norwalk, CT 06851 | 2013-09-30 |
| 1932447430 | Rebecca Roessler Velasquez | Social Worker | 225 W Rocks Rd, Norwalk, CT 06851 | 2013-01-18 |
| 1275809154 | Tiffany A. Mccarty | Social Worker | 166 East Ave Ste 204, Norwalk, CT 06851 | 2012-03-26 |
| 1356573547 | Cheree Louise Fenske | Clinical Neuropsychologist | 761 Main Ave Ste 104, Norwalk, CT 06851 | 2009-08-20 |
| 1083869572 | Carol Lynne Cooper | Obstetrics & Gynecology | 17 North Ave., Norwalk, CT 06851 | 2008-11-25 |
| Find all providers in zip 06851 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487900528 | Amazing Smiles LLC | Dentist | 148 East Ave Ste 1b, Norwalk, CT 06851-5727 | 2012-07-26 |
| 1245386663 | Gerald Strassberger | Dentist | 16 River St, Norwalk, CT 06850-3402 | 2007-01-26 |
| 1043594328 | Anat Tadir | Dentist | 13926 San Antonio Dr, Norwalk, CA 90650-4005 | 2011-10-05 |
| 1972671238 | David S Gottlieb | Dentist | 10 Mott Ave, Norwalk, CT 06850 | 2006-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699384966 | Connecticut Periodontal & Implant Associates | Dentist | 1080 Day Hill Rd Ste 101, Windsor, CT 06095-1781 | 2020-07-23 |
| 1790212348 | Vidushi Gupta | Dentist | 546 S Broad St Ste 2d, Meriden, CT 06450-6601 | 2017-05-15 |
| 1184057192 | Hamden Family Dental Center | Dentist | 4193 Whitney Ave, Hamden, CT 06518-1212 | 2013-08-13 |
| 1649618901 | Avon Center Dentistry | Dentist | 19 Ensign Drive, Avon, CT 06001 | 2013-06-10 |
| 1851614002 | Patricia I Diaz-moreno | Dentist | 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 | 2010-03-02 |
| 1003045675 | Sejal Thacker | Dentist | 82 Spring Lane, West Hartford, CT 06107 | 2009-07-04 |
| 1013144039 | Stella L. Laskowski | Dentist | 74 Palomba Drive, Enfield, CT 06082 | 2009-06-17 |
| 1407019557 | Nicole Ann Marquis | Dentist | 51 Boston Post Rd, Suite 10, Madison, CT 06443-2155 | 2008-07-09 |
| 1851562466 | Arthur Fred Dean | Dentist | 489 Route 184, Suite 201, Groton, CT 06340-6227 | 2008-03-23 |
| 1811171150 | Lawrence Delibero | Dentist | 17 1/2 Elm St, New Canaan, CT 06840-5502 | 2007-12-21 |
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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.