DR. EBEN LIGHT (NPI# 1770961344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770961344 |
| Entity Type | Individual |
| Full Name | DR. EBEN LIGHT |
| Practice Address |
75 Berlin Rd Suite 108 Cromwell CT 06416-2633 |
| Mailing Address |
414 Fountain St Apt B New Haven CT 06515-2630 |
| Practice Telephone | 8606351515 |
| Mailing Telephone | 2035562723 |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2016-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
11695 | CT | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | CT | Student, Health Care |
| Street Address |
75 BERLIN RD SUITE 108 |
| City | CROMWELL |
| State | CT |
| Zip Code | 06416-2633 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700997525 | Stanley E Schulman | Dentist | 75 Berlin Rd, Cromwell, CT 06416 | 2006-08-31 |
| 1326604398 | Matthew C Fenigstein | Dentist | 75 Berlin Rd, Cromwell, CT 06416-2633 | 2019-05-15 |
| 1316500606 | Peoplesdental, P.C. | Dentist | 75 Berlin Rd, Cromwell, CT 06416-2633 | 2019-04-22 |
| 1144511205 | Laura Virginia Nunno | Chiropractor | 75 Berlin Rd, #114, Cromwell, CT 06416-2633 | 2011-04-25 |
| 1447404272 | Stanley E. Schulman, D.m.d., LLC | Dentist | 75 Berlin Rd, Cromwell, CT 06416-2633 | 2008-11-06 |
| 1245322379 | Alan Einbinder | Dentist | 75 Berlin Rd, Cromwell, CT 06416 | 2006-09-28 |
| 1366548323 | Jay L. Mestel | Dentist | 75 Berlin Rd, Suite 109, Cromwell, CT 06416 | 2006-09-16 |
| 1912019126 | Gloria Fields Perry | Dentist | 75 Berlin Rd, Suite 106, Cromwell, CT 06416 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
| 1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
| 1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
| 1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
| 1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
| 1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
| 1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
| 1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
| 1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
| 1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
| Find all providers in zip 06416 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578876512 | Sara Marie Furino | Dentist | 30 Country Squire Dr, Cromwell, CT 06416-2512 | 2010-07-20 |
| 1881918324 | Janae Jessica Donady | Dentist | 130 Woodland Dr, Cromwell, CT 06416-1158 | 2010-03-25 |
| 1366891509 | Elite Dental | Dentist | 1 Willowbrook Rd, Suite 1, Cromwell, CT 06416-1101 | 2016-06-08 |
| 1043565054 | Tori Elizabeth Saferin | Dentist | 30 Country Squire Dr, Cromwell Dental, Cromwell, CT 06416-2512 | 2012-07-16 |
| 1457577082 | Donald R. Drouin | Dentist | 26 Shunpike Rd, Cromwell, CT 06416-2442 | 2007-04-18 |
| 1740406891 | David Joseph Ridolfi | Dentist | 26 Shunpike Rd, Cromwell, CT 06416-2442 | 2007-04-17 |
| 1922122407 | Jeffrey M. Shuster | Dentist | 28 Shunpike Rd, Suite 7, Cromwell, CT 06416-2454 | 2007-03-19 |
| 1437296423 | Robert Alan Breault | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2007-01-31 |
| 1043357825 | Cromwell Family Dental, PC | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2007-01-31 |
| 1578609145 | Jeffrey Joseph Scull | Dentist | 136 Berlin Rd, Cromwell, CT 06416-2627 | 2007-01-30 |
| Find all providers in CROMWELL | ||||
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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.