DR. NICOLA C KENNEDY (NPI# 1770777104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770777104 |
| Entity Type | Individual |
| Full Name | DR. NICOLA C KENNEDY |
| Credential | DMD |
| Practice Address |
960 Main St, 8th Floor Hartford Board of Ed Health Services Hartford CT 06103 |
| Practice Telephone | 8606954005 |
| Mailing Telephone | 8606954005 |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2016-04-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 008653 | CT | Dental Providers |
| N | 1223D0001X |
Dentist Specialization: Dental Public Health |
008653 | CT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
008653 | CT | Dental Providers |
| Street Address |
960 MAIN ST, 8TH FLOOR HARTFORD BOARD OF ED HEALTH SERVICES |
| City | HARTFORD |
| State | CT |
| Zip Code | 06103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720577646 | Jennifer Elana Lassman | Counselor | 20 Front St Apt 505, Hartford, CT 06103 | 2018-05-07 |
| 1073020574 | Amc Counseling Services, LLC | Marriage & Family Therapist | 100 Pearl Street, 14th Floor, Hartford, CT 06103 | 2018-01-05 |
| 1376987834 | Marisol Acevedo Cruz LLC | Marriage & Family Therapist | 100 Wells St. Suite 2l, Bushnell On The Park, Hartford, CT 06103 | 2013-04-26 |
| 1619241676 | Maria-elena Elena Mouser | Physical Therapist | 100 Wells Street Suite 1b, Connecticut Orthopedic Rehabilitation Associates, Hartford, CT 06103 | 2012-03-08 |
| 1801933908 | Anne Mcawley-leduc | Nurse Practitioner | 450 Columbus Ave, Hartford, CT 06103 | 2007-01-30 |
| 1194806083 | Brian W Courtney | Dentist | One Gold St., Hartford, CT 06103 | 2006-10-18 |
| 1689695587 | Diana D Hede | Dentist | 860 Main St, Health Srvcs, Hartford, CT 06103 | 2006-07-23 |
| 1851319826 | William A. Lohrer | Orthopaedic Surgery | Hartford Orthopedic Medicine - 100 Wells Street, Suite 1b, Hartford, CT 06103 | 2006-07-18 |
| 1518992874 | Jin Ho Chung | Physical Medicine & Rehabilitation | 100 Wells Street- Suite 1b, Hartford Orthopedic Medicine, Hartford, CT 06103 | 2006-07-12 |
| 1205816311 | Jennifer L. Rivers | Internal Medicine | 550 Main Street, Hartford City Town Hall, Hartford, CT 06103 | 2006-01-17 |
| Find all providers in zip 06103 | ||||
| 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 |
|---|---|---|---|---|
| 1083237259 | Dental Smiles of Hartford, Pllc | Dentist | 550 Farmington Ave Ste B, Hartford, CT 06105-3041 | 2020-05-22 |
| 1154814069 | Signature Smiles of Hartford LLC | Dentist | 550 Farmington Avenue, Suite B, Hartford, CT 06105 | 2018-06-14 |
| 1609304542 | Mallory Elizabeth Goding | Dentist | 1000 Asylum Ave Ste 3203, Hartford, CT 06105-1702 | 2017-05-23 |
| 1962830455 | Mattheis Hartford Dental Clinic, P.C. | Dentist | 304 W. Hwy 38 Suite #138, Hartford, SD 57033-0757 | 2013-10-22 |
| 1679833958 | Seth William Griffin | Dentist | 19 W. South St, Hartford, MI 49057 | 2012-05-21 |
| 1679864631 | Peter F Wilk D.d.s. | Dentist | 1163 Grand Ave, Hartford, WI 53027-2207 | 2011-04-26 |
| 1396051165 | Dental Group of Hartford PC | Dentist | 18 Madison St, Hartford, CT 06106-2324 | 2010-08-31 |
| 1275761017 | Andrew Bruce Hamilton | Dentist | 57418 County Road 681 Ste A, Hartford, MI 49057-9422 | 2009-07-01 |
| 1023245842 | Jacob Marshall Gady | Dentist | 54 Retreat Ave, Hartford, CT 06106-2526 | 2009-06-19 |
| 1144488438 | M Brandt Bower | Dentist | 784 S Main St, Hartford, WI 53027-2407 | 2008-05-23 |
| Find all providers in HARTFORD | ||||
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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.