SHANNON BRADLEY (NPI# 1710256680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710256680 |
| Entity Type | Individual |
| Full Name | SHANNON BRADLEY |
| Credential | RDH |
| Practice Address |
114 Old Farms Rd Cheshire CT 06410-3773 |
| Practice Telephone | 2032711097 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 124Q00000X | Dental Hygienist | 05954 | CT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699336255 | Shannon Bradley | Social Worker | 160 Bethlehem Pike Ste 120, Colmar, PA 18915-9790 | 2019-06-25 |
| 1053720557 | Shannon Deirdre Bradley | Social Worker | 12590 Whitehall Dr, Suite 1, Fort Myers, FL 33907-4680 | 2014-08-08 |
| 1770908568 | Shannon Poplin Bradley | Art Therapist | 373 Broadway, Ste. B05, New York, NY 10013-3926 | 2014-03-03 |
| 1417124538 | Shannon Gabrielle Bradley | Family Medicine | 330 N 8th Ave E, Duluth, MN 55805-2024 | 2008-05-08 |
| 1225082647 | Shannon S Bradley | Obstetrics & Gynecology | 1000 E Rosser Ave, Bismarck, ND 58501-4414 | 2006-05-20 |
| Street Address |
114 OLD FARMS RD |
| City | CHESHIRE |
| State | CT |
| Zip Code | 06410-3773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549252 | Piece To Peace, LLC | Social Worker | 609 West Johnson Avenue, Third Floor, Cheshire, CT 06410 | 2020-02-05 |
| 1023678869 | Suzanne Meyer-farrell | Counselor | 673 South Avenue, Cheshire, CT 06410 | 2019-06-14 |
| 1508347162 | Bright Futures Wellness Center, LLC | Nurse Practitioner | 422-426 Highland Avenue, Cheshire, CT 06410 | 2018-08-22 |
| 1528558525 | Stephen Lynam | Specialist/Technologist | 300 Wiese Rd, Cheshire, CT 06410 | 2018-05-15 |
| 1205358934 | Jayme Lynn Tapp | Physical Therapist | 150 Cook Hill Road, Cheshire, CT 06410 | 2017-07-14 |
| 1366810152 | Lauren K Johnson | Counselor | 609 W Johnson Ave Unit 310, Cheshire, CT 06410 | 2015-09-10 |
| 1225423924 | Christian Daniel Ward | Internal Medicine | 366 S Main St Ste 2, Cheshire, CT 06410 | 2015-03-31 |
| 1750795647 | James W. Pier, Ph.d., LLC | Clinical Neuropsychologist | 700 West Johnson Ave., Suite #310, Cheshire, CT 06410 | 2014-06-18 |
| 1619398427 | Joanna Garfinkle | Psychologist | 1095 South Main Street, Cheshire, CT 06410 | 2013-12-20 |
| 1649511437 | Heather R Laselle | Social Worker | 176 Robin Ln, Cheshire, CT 06410 | 2013-03-05 |
| Find all providers in zip 06410 | ||||
| Taxonomy Code | 124Q00000X |
| Grouping | Dental Providers |
| Classification | Dental Hygienist |
| An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. |
| Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003177502 | Colleen Rubano | Dental Hygienist | 58 Patton Dr, Cheshire, CT 06410-4232 | 2012-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346847514 | Lilly Prado | Dental Hygienist | 317 W Preston St, Hartford, CT 06114-2337 | 2020-10-01 |
| 1124657945 | Dorjan Kodra | Dental Hygienist | 78 Chesterfield Ave, Wolcott, CT 06716-3225 | 2020-04-03 |
| 1639728298 | Ashlyn Mucha | Dental Hygienist | 55 Sargent Drive, Bethany, CT 06524-3135 | 2019-09-06 |
| 1245885748 | Michelle Ann Daconto | Dental Hygienist | 16 Backes Ct, Wallingford, CT 06492-4712 | 2019-08-02 |
| 1194378323 | Brittany Varano | Dental Hygienist | 55 Sargent Dr., Bethany, CT 06524 | 2019-07-17 |
| 1922570910 | Jessica Nicoletti | Dental Hygienist | 10 Main St Unit 106, Berlin, CT 06037-2661 | 2019-01-02 |
| 1821569914 | Maria Bianca Pierce | Dental Hygienist | 238 Old Grassy Hill Rd, Orange, CT 06477-2426 | 2018-12-16 |
| 1679058135 | Patricia A Johnson | Dental Hygienist | 271 Scott Swamp Rd, Farmington, CT 06032-3324 | 2018-10-01 |
| 1760964704 | Sheethal Joseph Mathew | Dental Hygienist | 49 South Main Street, Torrington, CT 06790 | 2018-09-06 |
| 1689182842 | Myology Orofacial Therapy LLC | Dental Hygienist | 71 East Ave # Q1, Norwalk, CT 06851-4903 | 2018-01-22 |
| Find all providers with the same taxonomy | ||||
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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.