CLINTON FAMILY DENTISTRY, LLC (NPI# 1730637703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730637703 |
| Entity Type | Organization |
| Organization Name | CLINTON FAMILY DENTISTRY, LLC |
| Other Organization Name | CLINTON FAMILY DENTISTRY, LLC |
| Practice Address |
145r E Main St Clinton CT 06413-2104 |
| Practice Telephone | 8606692700 |
| Mailing Telephone | 8606692700 |
| Enumeration Date | 2016-09-19 |
| Last Update Date | 2016-09-19 |
| Authorized Official Name | RICHARD PANAGROSSI (OWNER) |
| Authorized Official Telephone | 8606692700 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | Y |
| Parent Organization Name | CLINTON FAMILY DENTISTRY, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 8902 | CT | Dental Providers |
| Y | 122300000X | Dentist | 7503 | CT | Dental Providers |
| Other Name | Type Code |
|---|---|
| Clinton Family Dentistry, LLC | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Clinton Family Dentistry, LLC | 145 R East Main Street, Clinton, CT 06413 |
| Street Address |
145R E MAIN ST |
| City | CLINTON |
| State | CT |
| Zip Code | 06413-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891082616 | Christopher S Gatehouse | Dentist | 145r E Main St, Clinton, CT 06413-2104 | 2011-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609358050 | Fallon Callahan | Pharmacist | 136 Samson Rock Drive, Madison, CT 06413 | 2018-09-02 |
| 1659814366 | A Behavioral Apporach | Behavioral Analyst | 4 Laconia Dr, Clinton, CT 06413 | 2016-11-29 |
| 1255786638 | The Vogl Program | Early Intervention Provider Agency | 15 Hammock Pkwy, Clinton, CT 06413 | 2016-05-04 |
| 1508048356 | Dr. Andrew M. Berliner | Podiatrist | 246 East Main Street, Suite 2, Clinton, CT 06413 | 2007-12-04 |
| 1306067624 | Julia S Tucker | Marriage & Family Therapist | 162 B East Main Street, Clinton, CT 06413 | 2007-05-02 |
| 1710012497 | Kevin M O'connell | Dentist | 149-4 East Main Street, Clinton, CT 06413 | 2007-02-22 |
| 1215099411 | Edward I Winokur Md | Family Medicine | 27 Commerce Street, Clinton, CT 06413 | 2006-12-14 |
| 1366518904 | Catherine L Alder | Social Worker | 12 Bargate Road, Clinton, CT 06413 | 2006-11-27 |
| 1033282306 | Child & Adult Orthodontics PC | Dentist | 248 East Main St, Clinton, CT 06413 | 2006-11-16 |
| 1780783738 | Kenneth Steven Wein | Nurse Anesthetist, Certified Registered | 8 Osprey Com, Clinton, CT 06413 | 2006-09-22 |
| Find all providers in zip 06413 | ||||
| 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 |
|---|---|---|---|---|
| 1811554595 | Samantha Mayes | Dentist | 1108 E Ohio St, Clinton, MO 64735-2458 | 2019-05-28 |
| 1922475144 | Navjeet Ubee | Dentist | 8913 Woodyard Rd Unit B, Clinton, MD 20735-4257 | 2015-08-24 |
| 1477953677 | Vibhor Bidkar | Dentist | 925 S 4th St, Clinton, IA 52732-5726 | 2014-08-26 |
| 1982019279 | Bahru Shikure Nure | Dentist | 9009 Woodyard Rd Unit 103, Clinton, MD 20735-4205 | 2014-06-25 |
| 1699115253 | Crown Hill Dentistry LLC | Dentist | 1792 E State Highway 163, Clinton, IN 47842-0160 | 2013-06-27 |
| 1154668333 | Kevin O'connell Dds LLC | Dentist | 149 E Main St Ste 4, Clinton, CT 06413-2103 | 2013-01-09 |
| 1750626321 | Clinton Dental Care, Inc. | Dentist | 736 Clinton Pkwy, Clinton, MS 39056 | 2012-12-07 |
| 1891082616 | Christopher S Gatehouse | Dentist | 145r E Main St, Clinton, CT 06413-2104 | 2011-06-30 |
| 1114237211 | Jeron Skerritt-ryan | Dentist | 11910 Mary Catherine Dr, Clinton, MD 20735-1018 | 2010-10-07 |
| 1598096596 | Carson Ferris-zeolla D.m.d. Victoria Uryniak D.d.s. | Dentist | Walnut Pond Prof. Bldg., 1484 Rte. 31 N., Clinton, NJ 08809-0314 | 2010-01-15 |
| Find all providers in CLINTON | ||||
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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.