GRISEL MARTINEZ CRUZ (NPI# 1700329638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700329638 |
| Entity Type | Individual |
| Full Name | GRISEL MARTINEZ CRUZ |
| Credential | DMD |
| Practice Address |
580 Burnside Ave Suite 2 East Hartford CT 06108-3579 |
| Mailing Address |
1011 Main St East Hartford CT 06108-2294 |
| Practice Telephone | 8602829000 |
| Mailing Telephone | 8605283350 |
| Enumeration Date | 2016-11-26 |
| Last Update Date | 2017-03-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
011717 | CT | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
11717 | CT | Dental Providers |
| Street Address |
580 BURNSIDE AVE SUITE 2 |
| City | EAST HARTFORD |
| State | CT |
| Zip Code | 06108-3579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210764 | Sheikh Irfan Ahmed | Pediatrics | 580 Burnside Ave, Suite 4, East Hartford, CT 06108-3579 | 2006-01-19 |
| 1396191797 | Anum Ahmed | Internal Medicine | 580 Burnside Ave, Ste 2, East Hartford, CT 06108-3579 | 2016-05-04 |
| 1851765986 | Woo Joong Kwon | Dentist | 580 Burnside Ave, East Hartford, CT 06108-3579 | 2015-12-01 |
| 1558761031 | Little Submarine Dental | Dentist | 580 Burnside Ave, East Hartford, CT 06108-3579 | 2014-09-03 |
| 1457772964 | Florence Olakojo | Nurse Practitioner | 580 Burnside Ave, Suite 4, East Hartford, CT 06108-3579 | 2013-12-31 |
| 1154757185 | Amazing Smile Family Dentistery | Dentist | 580 Burnside Ave, Suite# 6, East Hartford, CT 06108-3567 | 2013-09-23 |
| 1336573146 | Faisal Ijaz | Nurse Practitioner | 580 Burnside Ave, East Hartford, CT 06108-3579 | 2013-08-28 |
| 1265472583 | Pediatric & Adolescent Medicine | Family Medicine | 580 Burnside Ave, Suite 3, East Hartford, CT 06108-3579 | 2006-06-07 |
| 1710954961 | Connecticut Obgyn | Obstetrics & Gynecology | 580 Burnside Ave, Ste 4, East Hartford, CT 06108 | 2006-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003437435 | Decent Homecare Services LLC | Homemaker | 527 Burnside Avenue, Suite 1, East Hartford, CT 06108 | 2020-04-27 |
| 1164055810 | First Choice Health Center Inc | Durable Medical Equipment & Medical Supplies | 110 Connecticut Blbd, East Hartford, CT 06108 | 2020-02-20 |
| 1457848731 | Heavenly Care LLC | Home Health | 35 Greene Terrace, East Hartford, CT 06108 | 2018-04-22 |
| 1750894275 | Thamara Vanessa Jonathas | Nurse Practitioner | 477 Connecticut Blvd Ste 119, East Hartford, CT 06108 | 2017-11-06 |
| 1851802474 | Empathic Care Counseling LLC | Counselor | 357 East Center Street, Manchester, CT 06108 | 2017-10-23 |
| 1235654427 | Kacey Megquier | Specialist/Technologist | 132 Arbutus Street, East Hartford, CT 06108 | 2017-08-08 |
| 1225559826 | First Choice Health Centers, Inc. | Clinic/Center | 809 Main Street, East Hartford, CT 06108 | 2017-07-05 |
| 1205361599 | Freda Osei-parker | Pharmacist | 16a Saint Regis Street, East Hartford, CT 06108 | 2017-04-25 |
| 1831648740 | Marcia Loving Care Home Care Agency | Home Health | 23 Bidwell Street, East Hartford, CT 06108 | 2016-10-04 |
| 1770932642 | First Choice Health Centers, Inc. | Clinic/Center | 92 Connecticut Boulevard, East Hartford, CT 06108 | 2016-06-10 |
| Find all providers in zip 06108 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558761031 | Little Submarine Dental | Dentist | 580 Burnside Ave, East Hartford, CT 06108-3579 | 2014-09-03 |
| 1972862266 | Meriden Dental Associates, LLC | Dentist | 1011 Main St, East Hartford, CT 06108-2294 | 2012-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902426240 | River Road Pediatric Dentistry, LLC | Dentist | 865 River Rd Ste 10, Shelton, CT 06484-5464 | 2020-04-16 |
| 1326507369 | True Pediatric Dental Care LLC | Dentist | 233 Elm St Fl 2, West Haven, CT 06516-4635 | 2019-03-19 |
| 1740756345 | Grace Tylo LLC | Dentist | 35 Cold Spring Rd Ste 324, Rocky Hill, CT 06067-3163 | 2018-10-22 |
| 1932684990 | Orange Children's Dentistry, LLC | Dentist | 518 Boston Post Rd Ste 4-5, Orange, CT 06477-3554 | 2018-09-26 |
| 1992293443 | Braces On Me, P.C. | Dentist | 209 Boston Post Rd Ste 312, Milford, CT 06460-3161 | 2018-04-30 |
| 1417452541 | Bloomfield Pediatric Dentistry Pllc | Dentist | 34 Jerome Ave Ste 200, Bloomfield, CT 06002-2463 | 2018-03-29 |
| 1033622246 | Magicland Pediatric Dental LLC | Dentist | 815 Wolcott St, Waterbury, CT 06705-1301 | 2017-11-09 |
| 1023569654 | The Little Tooth Company Pediatric Dentistry LLC | Dentist | 264 Queen St, Suite A, Southington, CT 06489-1901 | 2016-10-19 |
| 1386035707 | Modern Family Dental | Dentist | 360 Boston Ave, Suite 17, Stratford, CT 06614-5213 | 2015-02-06 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| Find all providers with the same taxonomy | ||||
| City | EAST HARTFORD |
| Zip Code | 06108 |
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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.