HARTFORD COUNTY ORAL MAXILLOFACIAL & IMPLANT SURGERY PC (NPI# 1821339086) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821339086 |
| Entity Type | Organization |
| Organization Name | HARTFORD COUNTY ORAL MAXILLOFACIAL & IMPLANT SURGERY PC |
| Practice Address |
259 Farmington Ave Suite 1 Bristol CT 06010-3969 |
| Practice Telephone | 8605836549 |
| Practice Fax Number | 8605821547 |
| Mailing Telephone | 8605836549 |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | DR. EAN JAMES (PRESIDENT) |
| Authorized Official Telephone | 8563616703 |
| Authorized Official Credential | D.M.D., M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
10729 | CT | Dental Providers |
| Street Address |
259 FARMINGTON AVE SUITE 1 |
| City | BRISTOL |
| State | CT |
| Zip Code | 06010-3969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427083468 | Ronald B. Herriott | Dentist | 259 Farmington Ave, Bristol, CT 06010-3901 | 2006-07-11 |
| 1861762635 | Ronald B Herriott Dmd PC | Oral & Maxillofacial Surgery | 259 Farmington Ave, Bristol, CT 06010-3969 | 2012-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457991309 | A New Hope Caregiving Alliance LLC | Home Health | 225 North Main Street - Suite 107, Bristol, CT 06010 | 2020-01-08 |
| 1154981777 | Georgianna Sloate Lmft, LLC | Marriage & Family Therapist | 38 Kelley Street, Bristol, CT 06010 | 2019-06-17 |
| 1962062810 | Ariel Morley | Urology | 15 Riverside Avenue, Bristol, CT 06010 | 2019-06-13 |
| 1013439488 | Theresa Rose Manolitsis | Student in an Organized Health Care Education/Training Program | 170 Pondview Lane, Bristol, CT 06010 | 2017-07-07 |
| 1588103600 | Elizabeth Anne Costello | Pharmacist | 747 Pine Street, Bristol, CT 06010 | 2017-02-22 |
| 1992157903 | Aiman Riaz | Internal Medicine | 41 Brewster Rd # 5161, Bristol, CT 06010 | 2016-07-01 |
| 1346609955 | Monika Magdalena Sullivan | Nurse Practitioner | 122 Maple Street, Bristol, CT 06010 | 2016-02-11 |
| 1346660776 | Peter Bellezza | Podiatrist | 15 Riverside Ave, Bristol, CT 06010 | 2014-04-24 |
| 1487088001 | Stephen Alexander Merwin | Social Worker | 32 Laird Drive, Bristol, CT 06010 | 2013-08-30 |
| 1215369574 | In Kyung Lee | Dentist | 1192 Farmington Ave., Bristol, CT 06010 | 2013-08-08 |
| Find all providers in zip 06010 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194122135 | Samuel Edward Molind | Dentist | 210 Memorial Dr, Bristol, TN 37620-1704 | 2014-11-19 |
| 1992122956 | Bristol Oral Surgery & Implant Center | Dentist | 33 High St, Bristol, CT 06010-5820 | 2014-03-27 |
| 1134391154 | Donald S. Redford, D.d.s, P.c | Dentist | 350 Blountville Hwy, Suite 204, Bristol, TN 37620-0213 | 2008-03-31 |
| 1164517033 | James D Affenito | Dentist | 391 Main St, Bristol, CT 06010-5848 | 2006-10-04 |
| 1972563468 | Donald Smith Redford | Dentist | 350 Blountville Hwy, Suite 204, Bristol, TN 37620-0213 | 2006-03-27 |
| 1609878388 | L Alan Bacon Dds PC & John Collins Dds PC | Dentist | 1 Medical Park Blvd, Suite 440 East, Bristol, TN 37620-7430 | 2005-08-12 |
| 1154322451 | Michael L Hamlin | Dentist | 1 Medical Park Blvd, Suite 440 East, Bristol, TN 37620-7430 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951350 | Connecticut Oral Surgery and Implant Center, Pllc | Dentist | 314 Flanders Rd Ste 1b, East Lyme, CT 06333-1727 | 2020-01-14 |
| 1952898025 | Premier Oral Surgery and Implantology Center LLC | Dentist | 411 Barnum Avenue Cutoff Ste 5, Stratford, CT 06614-5100 | 2018-04-15 |
| 1629595145 | Gary Fishbein Dmd LLC | Dentist | 281 Hartford Tpke Ste 307, Vernon, CT 06066-4707 | 2017-08-25 |
| 1912428160 | Gm Surgical Associates LLC | Dentist | 130 New London Tpke Ste 3, Norwich, CT 06360-2624 | 2017-06-28 |
| 1861920068 | Mofs-ct Oral Facial Surgery LLC | Dentist | 1 Boulder Ave, Old Greenwich, CT 06870-1420 | 2017-06-01 |
| 1881034262 | Christy Lottinger | Dentist | 263 Farmington Ave # Mc1710, Farmington, CT 06030-1267 | 2013-06-28 |
| 1558618025 | Priceless Dental Care P.C. | Dentist | 60 Waterbury Rd Ste E, Prospect, CT 06712-1251 | 2012-08-14 |
| 1477840270 | Imanuel Babayev | Dentist | 148 East Ave Ste 3h1, Norwalk, CT 06851-5721 | 2011-06-30 |
| 1629364997 | New London Dental Care, LLC | Dentist | 258 S Frontage Rd, New London, CT 06320-2641 | 2011-06-24 |
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| 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.