NORTHEAST DENTAL OF STRATFORD,LLC (NPI# 1851788723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851788723 |
| Entity Type | Organization |
| Organization Name | NORTHEAST DENTAL OF STRATFORD,LLC |
| Practice Address |
88 Ryders Ln Stratford CT 06614-1666 |
| Practice Telephone | 7326108265 |
| Mailing Telephone | 7326108265 |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2015-04-18 |
| Authorized Official Name | VIRGINIA WICKE (COO) |
| Authorized Official Telephone | 7326108265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN20704 | CT | Dental Providers |
| Street Address |
88 RYDERS LN |
| City | STRATFORD |
| State | CT |
| Zip Code | 06614-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336178276 | Stratford Visiting Nurse Association, Inc. | Home Health | 88 Ryders Ln, Stratford, CT 06614-1666 | 2006-07-02 |
| 1548751449 | David Joseph Defilippo | Clinic/Center | 88 Ryders Ln, Stratford, CT 06614-1666 | 2018-05-25 |
| 1295105716 | Mak Wellness Solutions LLC | Chiropractor | 88 Ryders Ln, Suite 101, Stratford, CT 06614 | 2015-09-26 |
| 1902283328 | Mark Konopka | Chiropractor | 88 Ryders Ln, Suite 101, Stratford, CT 06614-1666 | 2015-05-05 |
| 1528223427 | Precision Hearing Specialists, LLC | Hearing Instrument Specialist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2008-07-21 |
| 1013109628 | Robert Sbriglio | Psychiatry & Neurology | 88 Ryders Ln, Suite 208, Stratford, CT 06614-1666 | 2007-08-16 |
| 1427258300 | Lighthouse Dental Care, LLC | Dentist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2007-07-19 |
| 1982725537 | Joseph Jarmon | Dentist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2007-04-02 |
| 1669593208 | Mark Samuels | Dentist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2007-04-02 |
| 1952487597 | Pamela Mcmahon | Physical Therapist | 88 Ryders Ln, Stratford, CT 06614-1666 | 2006-10-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588139604 | David A Crosby | Physician Assistant | 125 Pumpkin Ground Road, Stratford, CT 06614 | 2018-10-04 |
| 1710489232 | Karen Marie Laconte | Naturopath | 720 Hilltop Dr, Stratford, CT 06614 | 2018-02-28 |
| 1972024693 | Amanda Wilson | Social Worker | 60 Edmund Street, Stratford, CT 06614 | 2017-07-03 |
| 1558801423 | Kristine Lynn Conlan | Physical Therapist | 55 Pasadena Ave., Stratford, CT 06614 | 2017-02-27 |
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1093176141 | Kathleen G Domek | Technician/Technologist | 150 Barnum Avenue Cut Off, Stratford, CT 06614 | 2016-03-17 |
| 1417328634 | Kelley Machado | Social Worker | 2127 Nichols Ave, Stratford, CT 06614 | 2015-10-14 |
| 1043629553 | Jennifer Woods-mesquita | Social Worker | 125 Greenlawn Ave, Stratford, CT 06614 | 2014-08-08 |
| 1437564010 | Jose R. Pacheco | Obstetrics & Gynecology | 120 Brightwood Ave, Stratford, CT 06614 | 2014-06-23 |
| 1740612829 | Stanley Brovender | General Practice | 773b Pontiac Lane, Stratford, CT 06614 | 2013-07-31 |
| Find all providers in zip 06614 | ||||
| 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 |
|---|---|---|---|---|
| 1811440258 | Seokwon Kwon | Dentist | 320 Boston Ave, Stratford, CT 06614 | 2016-08-02 |
| 1497002687 | Poonam Gat | Dentist | 1100 Barnum Ave, Stratford, CT 06614-4901 | 2012-08-07 |
| 1538342159 | Mark P Feinberg | Dentist | 3272 Main Street, Stratford, CT 06614 | 2007-12-06 |
| 1750582524 | Frank Dalena | Dentist | 2268 Main St, Stratford, CT 06615-5999 | 2007-05-30 |
| 1922215375 | Brian Joseph Cardillo | Dentist | 212 N White Horse Pike, Stratford, NJ 08084-1224 | 2007-05-16 |
| 1093935736 | Kristy Gretzula | Dentist | 475 Hawley Lane, Unit 9, Stratford, CT 06614 | 2007-04-26 |
| 1376694844 | Stephen Dominick Brattelli | Dentist | 15 Colby Ave, Stratford, NJ 08084-1028 | 2007-01-13 |
| 1396800702 | Reza Radmand | Dentist | 2318 Main St, Stratford, CT 06615-5966 | 2006-12-26 |
| 1790846186 | Constanta Dinulescu | Dentist | 955 Ferry Blvd, Stratford, CT 06614-6094 | 2006-12-12 |
| 1194815530 | John C Britz Dds PC | Dentist | 971 East Broadway, Stratford, CT 06615 | 2006-10-14 |
| Find all providers in STRATFORD | ||||
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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.