DR. SCOTT MAURICE DILLARD (NPI# 1669775508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669775508 |
Entity Type | Individual |
Full Name | DR. SCOTT MAURICE DILLARD |
Credential | D.D.S. |
Practice Address |
401 Center St Manchester CT 06040-3924 |
Practice Telephone | 8606450111 |
Mailing Telephone | 8606450111 |
Enumeration Date | 2010-12-15 |
Last Update Date | 2014-05-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
041953 | NY | Dental Providers |
Y | 1223D0004X |
Dentist Specialization: Dentist Anesthesiologist |
007896 | CT | Dental Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164666434 | Scott Craig Dillard | Student in an Organized Health Care Education/Training Program | 770 Lee Road 426, Smiths, AL 36877-3227 | 2009-04-29 |
Street Address |
401 CENTER ST |
City | MANCHESTER |
State | CT |
Zip Code | 06040-3924 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851614499 | Markos Raptis | Dentist | 401 Center St, Manchester, CT 06040-3924 | 2010-03-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710501333 | Mackenzie Lawler | Social Worker | 200 W. Center Street, Suite C-2-6, Manchester, CT 06040 | 2020-05-29 |
1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
1346881596 | Sheryl Andrine Henry | Technician | 185 Pine Street, Apt 014, Manchester, CT 06040 | 2019-09-30 |
1811550304 | Edward Wahn Lee | Student in an Organized Health Care Education/Training Program | 130 Hartford Road, Manchester, CT 06040 | 2019-04-19 |
1538689534 | Bernard Ashirifie | Counselor | 869 Main Street, Apt 3, Manchester, CT 06040 | 2017-06-21 |
1497275697 | Justin David Chung | Dentist | 483 Middle Tpke W Ste 209, Manchester, CT 06040 | 2017-06-20 |
1114473436 | Amanda Edgar | Counselor | 469 Center Street, Manchester, CT 06040 | 2016-08-28 |
1760831366 | Samantha Micael | Marriage & Family Therapist | 200 West Center Street, Suite C-2-6, Manchester, CT 06040 | 2016-06-06 |
1962856179 | Odelia Brew | Nurse Practitioner | 256 Hackmatack Street, Manchester, CT 06040 | 2016-04-14 |
1306217765 | Stephen R Machattie | Social Worker | 843 Main St Ste 11, Manchester, CT 06040 | 2015-10-12 |
Find all providers in zip 06040 |
Taxonomy Code | 1223D0004X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Dentist Anesthesiologist |
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. |
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326061821 | William Andrew Macdonnell | Dentist | 158 Hunter Dr, West Hartford, CT 06107-1017 | 2006-07-25 |
1841720794 | Asleep Dentistry | Dentist | 37 North Ave, Norwalk, CT 06851-3827 | 2017-06-14 |
1770935710 | Tee-pee Dentistry P.C. | Dentist | 468 Clinton Ave, Bridgeport, CT 06605-1713 | 2016-07-01 |
1043696107 | Walnut Dental | Dentist | 272 Franklin Ave, Hartford, CT 06114 | 2015-07-30 |
1790170033 | Yale-new Haven Hospital | Dentist | 1 Long Wharf Dr, Suite 403, New Haven, CT 06511-5991 | 2015-04-03 |
1619171790 | Kids Dental Care, LLC | Dentist | 733 Terryville Ave, Bristol, CT 06010-4034 | 2007-06-13 |
City | MANCHESTER |
Zip Code | 06040 |
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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.