DENTAL CENTER (NPI# 1700191590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700191590 |
| Entity Type | Organization |
| Organization Name | DENTAL CENTER |
| Practice Address |
5065 Main Street #1118 Trumbull CT 06611 |
| Mailing Address |
5065 Main St #1118 Trumbull CT 06611-4204 |
| Practice Telephone | 2033739099 |
| Practice Fax Number | 2033739299 |
| Mailing Telephone | 2033739099 |
| Mailing Fax Number | 2033739299 |
| Enumeration Date | 2010-08-17 |
| Last Update Date | 2010-08-17 |
| Authorized Official Name | DR. YELENA TARAN (DOCTOR) |
| Authorized Official Telephone | 7186253106 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 009326 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225454853 | Dental Center | Dentist | 2641 Naylor Rd Se, Washington, DC 20020-7253 | 2014-03-06 |
| 1821245531 | Dental Center | Dentist | 264 Hawthorn Village Commons, Vernon Hills, IL 60061-1519 | 2008-08-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DENTAL CENTER | 1050 W Hayward Dr, Mount Vernon, MO 65712-6329 |
| New York State Corporations | DENTAL CENTER OF BROOKLYN P.C. | 8100 19th Ave, Brooklyn, Ny 112142302 |
| Iowa Business Entities | DENTAL CENTER OF CENTRAL IOWA, LLC | 666 Grand Ave Ste 2000, Des Moines, IA 50309 |
| Iowa Business Entities | DENTAL CENTER OF IOWA, LLC | 666 Grand Ave Ste 2000, Des Moines, IA 50309 |
| Iowa Business Entities | DENTAL CENTER OF JOHNSTON, LLC | 666 Grand Ave Ste 2000, Des Moines, IA 50309 |
| Virginia Business Entities | Dental Center of Merrifield Inc. | 2841 Hartland Rd., Suite 202, Falls Church, Virginia 22043 |
| Iowa Business Entities | DENTAL CENTER OF NORTH IOWA, L.C. | Stone Creek Office Park, 2800 4th St Sw Ste 1, Mason City, IA 50401 |
| System for Award Management (SAM) Entities | DENTAL CENTER OF NORTHWEST OHIO | 2138 Madison Ave, Toledo, OH 43604-5131 |
| Oklahoma Business Registrations | DENTAL CENTER OF OKLAHOMA, PLLC | 7599 W Rocky Top Rd, Fort Gibson, OK 74434 |
| Connecticut Business Registrations | DENTAL CENTER OF STAMFORD, INC. | C/o Community Health Center, Incorporate, 635 Main St., Middletown, CT 06457 |
| Street Address |
5065 MAIN STREET #1118 |
| City | TRUMBULL |
| State | CT |
| Zip Code | 06611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
| 1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
| 1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
| 1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
| 1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
| 1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
| 1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
| 1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
| Find all providers in zip 06611 | ||||
| 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 |
|---|---|---|---|---|
| 1912523903 | Tyler Perimenis | Dentist | 105 Technology Dr Fl 2, Trumbull, CT 06611-6348 | 2020-06-25 |
| 1558724518 | Brian John Wooley | Dentist | 888 White Plains Rd Ste 102, Trumbull, CT 06611-4552 | 2016-03-29 |
| 1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
| 1669702999 | Dental Group of Ct | Dentist | 921 White Plains Rd, Trumbull, CT 06611-4546 | 2010-01-08 |
| 1548626823 | Trumbull Premier Dental | Dentist | 4161 Madison Ave, Trumbull, CT 06611-3533 | 2016-01-03 |
| 1356780688 | Daniel J Zaffetti | Dentist | 2 Corporate Dr, Trumbull, CT 06611-1376 | 2013-06-20 |
| 1538455670 | Timothy Holzhauer | Dentist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2011-06-28 |
| 1437477205 | Ruo Hong Zhai | Dentist | 2 Corporate Dr, Suite 101, Trumbull, CT 06611-1376 | 2010-05-04 |
| 1770759391 | Kenneth F. Catandella | Dentist | 115 Technology Dr, Suite A-205, Trumbull, CT 06611-6337 | 2008-05-03 |
| 1407026107 | Scott David Cohen | Dentist | 160 Hawley Ln, Suite 103, Trumbull, CT 06611-5300 | 2008-03-10 |
| Find all providers in TRUMBULL | ||||
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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.