DR. STANISLAV MOLINE (NPI# 1821008202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821008202 |
| Entity Type | Individual |
| Full Name | DR. STANISLAV MOLINE |
| Credential | DMD, MDS |
| Practice Address |
2 Chucrh St # 670 Ellington CT 06029-0670 |
| Mailing Address |
Po Box 670 Ellington CT 06029-0670 |
| Practice Telephone | 8600000000 |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-05-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
009473 | CT | Dental Providers |
| Street Address |
2 CHUCRH ST # 670 |
| City | ELLINGTON |
| State | CT |
| Zip Code | 06029-0670 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073909487 | Kristen Marie Martel | Behavioral Analyst | 4 Windermere Vlg Dr, Ellington, CT 06029 | 2015-04-13 |
| 1972747111 | Lauren Jill Powers | Dentist | 17 5 West Road, Ellington, CT 06029 | 2009-04-30 |
| 1922215821 | Luke E O'connor | Internal Medicine | 23 Ellington Ave, Po 878 Willimantic Ct 06022, Ellington, CT 06029 | 2007-05-17 |
| 1235238643 | Sean Noel | Chiropractor | 105 West Rd Rte 83, Ellington, CT 06029 | 2006-09-22 |
| 1821420977 | Just Breathe Connecticut, LLC | Counselor | 4 West Rd, Ellington, CT 06029 | 2013-07-31 |
| 1518270446 | Kerry Lynn Tuttle | Social Worker | 4 West Rd, Ellington, CT 06029 | 2010-07-20 |
| 1134269004 | Ellington Volunteer Ambulance Corps Inc | Ambulance | 41 Maple St, Ellington, CT 06029-0071 | 2007-02-08 |
| 1225399108 | Endodontic Specialists LLC | Dentist | 2 Chucrh St # 670, Ellington, CT 06029-0670 | 2012-06-06 |
| 1700267473 | Andrew Michael Janiga | Dentist | 2 Brockway Rd, Ellington, CT 06029-2100 | 2015-06-17 |
| 1245851013 | Frederick Insler | Counselor | 1 Ellsworth Ln, Ellington, CT 06029-2106 | 2020-05-02 |
| Find all providers in zip 06029 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225399108 | Endodontic Specialists LLC | Dentist | 2 Chucrh St # 670, Ellington, CT 06029-0670 | 2012-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073041489 | Endodontic Solutions LLC | Dentist | 19 Ensign Dr, Avon, CT 06001-3705 | 2017-05-30 |
| 1871937359 | Lester C Reid | Dentist | 225 N Main St Ste 209, Bristol, CT 06010-4993 | 2013-04-26 |
| 1669751939 | Professional Endodontics Ll | Dentist | 70 Howard St, Suite B, New London, CT 06320-4937 | 2011-08-04 |
| 1538392170 | Wolcott Street Dental-2, PC | Dentist | 144 Boston Ave, Bridgeport, CT 06610-1604 | 2009-08-31 |
| 1134359623 | Wolcott Street Dental-2, PC | Dentist | 728 Wolcott Street, Waterbury, CT 06705 | 2009-07-20 |
| 1568603934 | Wolcott Street Dental-1, PC | Dentist | 531 Elm St, New Haven, CT 06511-4549 | 2009-03-16 |
| 1952548208 | Rachele Luciano | Dentist | 366 Middle Tpke W, Manchester, CT 06040-3824 | 2009-01-08 |
| 1912156514 | Care Endodontics, P.C. | Dentist | 436 Farmington Ave, Hartford, CT 06105-4423 | 2008-09-18 |
| 1295993269 | New England Dental | Dentist | 54 Main St # F, Danbury, CT 06810-3009 | 2008-05-27 |
| 1053587592 | Philip Ralph Mascia | Dentist | 360 Federal Rd, Brookfield, CT 06804-2426 | 2008-05-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. STANISLAV MOLINE.
| 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.