KENNETH EDWARD ENDRES (NPI# 1801927058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801927058 |
| Entity Type | Individual |
| Full Name | KENNETH EDWARD ENDRES |
| Credential | D.D.S. |
| Practice Address |
33 Hartford Avenue Box 330 Granby CT 06035 |
| Mailing Address |
10 Helena Rd Avon CT 06001-3432 |
| Practice Telephone | 8606534551 |
| Practice Fax Number | 8606534552 |
| Mailing Telephone | 8606737738 |
| Mailing Fax Number | 8606730836 |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
06442 | CT | Dental Providers |
| Street Address |
33 HARTFORD AVENUE BOX 330 |
| City | GRANBY |
| State | CT |
| Zip Code | 06035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801348214 | Granby Pharmacy LLC | Pharmacy | 9 Hartford Avenue, Granby, CT 06035 | 2016-11-02 |
| 1851625271 | Melissa Marie Masse | Registered Nurse | 20 Bank Street, Granby, CT 06035 | 2009-10-01 |
| 1194937797 | Hope Goldstein | Physical Therapist | 18 E. Granby Road, Granby, CT 06035 | 2007-05-04 |
| 1801918909 | Michael A Ungerleider | Dentist | 41 Hartford Ave, Granby, CT 06035 | 2007-04-06 |
| 1104921956 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 20 Bank St, Granby, CT 06035 | 2006-09-14 |
| 1154426377 | Michele Twigg | Internal Medicine | 18 E. Granby Rd, 1st Floor, Granby, CT 06035 | 2006-09-13 |
| 1063517282 | Joseph Maglio | Internal Medicine | 18 East Granby Road, 1st Floor, Granby, CT 06035 | 2006-09-13 |
| 1184727992 | John Scott Hitchiner | Chiropractor | 50 Hartford Ave, Granby, CT 06035 | 2006-09-07 |
| 1174531446 | Jean M Keating | Pharmacist | 9 Hartford Ave, Granby, CT 06035 | 2006-08-03 |
| 1093217010 | Amy Qiu | Pharmacist | 20 Bank Street, Granby, CT 06035 | 2018-03-06 |
| Find all providers in zip 06035 | ||||
| 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 |
|---|---|---|---|---|
| 1710473814 | Jeff Thomas Marlor | Dentist | 290 E Agate Avenue, Granby, CO 80446 | 2018-07-02 |
| 1144428665 | Vincent Hoyt Steniger | Dentist | 26 E Granby Rd, Granby, CT 06035-2201 | 2007-07-05 |
| 1801918909 | Michael A Ungerleider | Dentist | 41 Hartford Ave, Granby, CT 06035 | 2007-04-06 |
| 1083118483 | Matthew Glenn Lepowsky | Dentist | 26 E Granby Rd, Granby, CT 06035-2201 | 2018-03-20 |
| 1255627832 | Andrew W Burns Dds PC | Dentist | 290 East Agate Avenue, Granby, CO 80446-1070 | 2011-06-22 |
| 1780724849 | Richard Stewart Kirschbaum | Dentist | 26 East Granby Rd., Granby, CT 06035-0450 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467059378 | Kainat Naeem | Dentist | 70 Pease Ave, Southport, CT 06890-1110 | 2020-10-04 |
| 1306452479 | Robert James Wollschlager | Dentist | 495 Route 184 Ste 312, Groton, CT 06340-6230 | 2020-09-23 |
| 1699392134 | David Powers | Dentist | 2955 Main St Ste 400, Glastonbury, CT 06033-1028 | 2020-07-01 |
| 1730719279 | Bartley Dentistry | Dentist | 697 Poquonock Ave., Windsor, CT 06095-2259 | 2020-01-23 |
| 1295374296 | The Smile Studio At Bushnell Park | Dentist | 1 Gold St Ste Q, Hartford, CT 06103-2914 | 2019-12-23 |
| 1558904987 | Baybrook Dental | Dentist | 4 Ocean Ave # 2, West Haven, CT 06516-7048 | 2019-10-17 |
| 1083256226 | Connecticut Dental Professionals, P.C. | Dentist | 276 Oxford Rd Ste 2, Oxford, CT 06478-1956 | 2019-10-09 |
| 1962050765 | Sasha Drexler Dentistry Pllc | Dentist | 1305 Post Rd Ste 200, Fairfield, CT 06824-6016 | 2019-08-27 |
| 1649827981 | Caitlin Rose Berwick | Dentist | 251 Long Ridge Rd, Stamford, CT 06902-1640 | 2019-08-21 |
| 1801441902 | Fairfield Dental Associates PC | Dentist | 1979 Post Rd, Fairfield, CT 06824-5723 | 2019-08-06 |
| 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.