VIJITHA SANAM (NPI# 1699930867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699930867 |
| Entity Type | Individual |
| Full Name | VIJITHA SANAM |
| Credential | DMD |
| Practice Address |
73c Winthrop Ave Lawrence MA 01843-3716 |
| Mailing Address |
201 W 8th St Suite 810 Pueblo CO 81003-3038 |
| Practice Telephone | 9787256525 |
| Mailing Telephone | 7195624447 |
| Enumeration Date | 2008-07-27 |
| Last Update Date | 2010-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22154 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DENTAL LICENSE | 22154 | 01 |
| Street Address |
73C WINTHROP AVE |
| City | LAWRENCE |
| State | MA |
| Zip Code | 01843-3716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346325040 | Neha Manocha | Dentist | 73c Winthrop Ave, Lawrence, MA 01843-3716 | 2006-10-25 |
| 1194271460 | Andrea Branch | Dentist | 73c Winthrop Ave, Lawrence, MA 01841-2537 | 2016-08-28 |
| 1508267303 | New England Family Dentistry, PC | Dentist | 73c Winthrop Ave, Lawrence, MA 01843-3716 | 2014-09-11 |
| 1184867921 | Douglas Hart Macgilpin | Dentist | 73c Winthrop Ave, Lawrence, MA 01843-3716 | 2009-04-09 |
| 1689877284 | Dmitry Y. Tsvetov | Dentist | 73c Winthrop Ave, Lawrence, MA 01843-3716 | 2007-06-09 |
| 1538299037 | Pasquale Pat Nappo | Dentist | 73c Winthrop Ave, Lawrence, MA 01843-3716 | 2007-03-06 |
| 1194873489 | Bhavana Jayaram | Dentist | 73c Winthrop Ave, Lawrence, MA 01843-3716 | 2007-01-05 |
| 1497803738 | Hien T Duong | Dentist | 73c Winthrop Ave, Lawrence, MA 01843-3716 | 2007-01-05 |
| 1407903750 | Lawrence Smiles Youth Dentistry, LLC | Dentist | 73c Winthrop Ave, Lawrence, MA 01843-3716 | 2007-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205466703 | Jean A Schrow | Student in an Organized Health Care Education/Training Program | 350 Merrimack Street Bldg 5, Lawrence, MA 01843 | 2020-01-23 |
| 1053959049 | Carolyn O'connor | Occupational Therapist | 439 S. Union St, Bldg. 1, Ste. 110, Lawrence, MA 01843 | 2019-12-20 |
| 1578120754 | My Dental Lawrence Pllc | Clinic/Center | My Dental Lawrence Pllc, 465 South Broadway, Lawrence, MA 01843 | 2019-05-23 |
| 1336600071 | Michelle Ann Guillette | Counselor | 360 Merrimack St Bldg. 9, Entrance H, Lawrence, MA 01843 | 2019-03-26 |
| 1629540158 | Kathleen D Coale | Physical Therapist | Heritage Place, Building 1, Suite 101, 439 South Union Street, Lawrence, MA 01843 | 2018-12-21 |
| 1306334933 | Jannice Mari Adorno | Community/Behavioral Health | 34 Farnham Street, Lawrence, MA 01843 | 2018-04-30 |
| 1710489935 | Maureen Lyn Deangelis | Social Worker | Robert Frost Elementary School, 33 Hamlet Street, Lawrence, MA 01843 | 2018-03-03 |
| 1215448733 | Henry Joseph De Lima | Social Worker | 360 Merrimack Street, Bldg 9, 3rd Floor, Lawernce, MA 01843 | 2017-10-24 |
| 1710404090 | Awilda M Pimentel | Counselor | 111 River Pointe Way, Lawrence, MA 01843 | 2017-08-28 |
| 1215454772 | Yu Yu Chen | Counselor | 439 S.union St, Suite 116, Lawrence, MA 01843 | 2017-08-25 |
| Find all providers in zip 01843 | ||||
| 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 |
|---|---|---|---|---|
| 1477164705 | Christopher Taylor Lippold | Dentist | 10 E 9th St Ste C, Lawrence, KS 66044-2600 | 2020-08-11 |
| 1841809449 | Kailah Marie Willms | Dentist | 4111 W 6th St, Lawrence, KS 66049-4609 | 2020-07-29 |
| 1487272530 | Mariana Braga | Dentist | 314 Essex St Unit 203, Lawrence, MA 01840-1411 | 2020-07-06 |
| 1407322910 | West Lawrence Dentistry, Pa | Dentist | 565 Wakarusa Dr Ste A, Lawrence, KS 66049-3212 | 2018-10-23 |
| 1629557178 | Lawrence Smile Design LLC | Dentist | 171 S Broadway, Lawrence, MA 01843-1426 | 2018-08-07 |
| 1164971875 | Nicholas Salava | Dentist | 5100 Bob Billings Pkwy Ste 110, Lawrence, KS 66049 | 2016-09-23 |
| 1013352863 | Kevin Black | Dentist | 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 | 2013-05-07 |
| 1598063356 | Oracare Dental Services, P.C. | Dentist | 122 Lawrence Ave, Lawrence, NY 11559-1442 | 2011-03-03 |
| 1073820395 | Lawrence Family Dental Inc. | Dentist | 300 Essex St, Lawrence, MA 01840-1400 | 2010-09-08 |
| 1447486626 | Kelly A Miller | Dentist | 545 Columbia Dr Ste 1003, Lawrence, KS 66049-2363 | 2009-06-02 |
| Find all providers in LAWRENCE | ||||
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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.