MR. ANTHONY J DISTEFANO III (NPI# 1790839199) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790839199 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY J DISTEFANO III |
| Credential | DDS |
| Practice Address |
562 Lincoln St Worcester MA 01605-1916 |
| Practice Telephone | 5088520854 |
| Practice Fax Number | 5088530364 |
| Mailing Telephone | 5088520854 |
| Mailing Fax Number | 5088530364 |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 12966 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174003230 | Anthony Michael Distefano | Physical Therapy Assistant | 910 Foulk Rd Ste 100, Wilmington, DE 19803-3158 | 2018-08-17 |
| 1922272285 | Anthony Distefano | Counselor | 175 Remsen St, Suite 300, Brooklyn, NY 11201-4300 | 2008-04-17 |
| 1568430361 | Anthony Distefano | Urology | 116 E Center St, Suite 19, Manchester, CT 06040-5215 | 2006-03-09 |
| Street Address |
562 LINCOLN ST |
| City | WORCESTER |
| State | MA |
| Zip Code | 01605-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780995894 | Anthony J Distefano IIi Dds PC | Dentist | 562 Lincoln St, Worcester, MA 01605-1916 | 2010-06-24 |
| 1063646552 | Anthony Distefano, Jr Md | Family Medicine | 562 Lincoln St, Worcester, MA 01605-1916 | 2009-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083228340 | Francisca A Bediako | Registered Nurse | Commonwealth Care Alliance, 100 North Parkway-suite # 202, Worcester, MA 01605 | 2020-09-03 |
| 1922660646 | Jenna Patricia Mullarkey | Counselor | Ummmc, Hahnemann Family Health Center, 279 Lincoln Street, Worcester, MA 01605 | 2019-07-02 |
| 1295219293 | Valerie Ann Wedge | Social Worker | 382 Plantation Street, Worcester, MA 01605 | 2018-09-17 |
| 1154800290 | Keri Innis-grant | Counselor | 108 Grove Street, Ste Ll11, Worcester, MA 01605 | 2018-08-09 |
| 1184119463 | Madiinah Namutebi | Registered Nurse | 56 Olga Ave, Worcester, MA 01605 | 2018-06-28 |
| 1841789310 | Ashley Murray | Psychologist | 361 Plantation St., Attn: Forensic Services, Worcester, MA 01605 | 2018-05-09 |
| 1184126419 | Nadia Saforo | Nurse Practitioner | 509 Plantation St Apt 221, Worcester, MA 01605 | 2018-03-02 |
| 1548779044 | Arnold Kamau Thuku | Behavioral Analyst | 55 Erie Ave, Worcester, MA 01605 | 2017-09-27 |
| 1417466483 | Sabine Erica Charles-arbouet | Registered Nurse | 25 Oriol Drive, Worcester, MA 01605 | 2017-09-21 |
| 1548787864 | Alyssa Lynn Champagne | Behavioral Analyst | 19 Judson Rd, Worcester, MA 01605 | 2017-08-28 |
| Find all providers in zip 01605 | ||||
| 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 |
|---|---|---|---|---|
| 1043827496 | Moaz Zanbarakji | Dentist | 347 Greenwood St, Worcester, MA 01607-1785 | 2020-09-29 |
| 1437641107 | Christopher Quoc-duy Nguyen | Dentist | 111 Elm Street Suite 203, Worcester, MA 01609 | 2018-05-30 |
| 1063935666 | Worcester Quality Dental. PC | Dentist | 715 Pleasant St # 1, Worcester, MA 01602-1904 | 2017-07-25 |
| 1093249526 | Dental Dreams LLC | Dentist | 943 Grafton St, Worcester, MA 01604-2003 | 2017-04-11 |
| 1578001970 | Hope Dental, LLC | Dentist | 221 Chandler St, Worcester, MA 01609-2961 | 2017-02-06 |
| 1023562048 | Isha Sood | Dentist | Dental Dreams, 68 Stafford Street, Worcester, MA 01603 | 2016-08-08 |
| 1932553864 | Sabrina Nguyen | Dentist | 33 Burghardt St, Worcester, MA 01604-1508 | 2016-04-18 |
| 1043652696 | Nima Ansari | Dentist | 700 Southbridge St Ste 2, Worcester, MA 01610-2941 | 2013-07-24 |
| 1780967612 | Jing Zhang | Dentist | 68 Stafford St Ste 1, Worcester, MA 01603-1450 | 2011-09-27 |
| 1659692028 | Agnieszka Ewa Shanahan | Dentist | 123 Newton Ave N, Worcester, MA 01609-1403 | 2010-06-18 |
| Find all providers in WORCESTER | ||||
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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.