KOMAROW DENTAL PC (NPI# 1851807218) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851807218 |
| Entity Type | Organization |
| Organization Name | KOMAROW DENTAL PC |
| Practice Address |
40 Dale Rd Avon CT 06001-3692 |
| Practice Telephone | 8606772171 |
| Practice Fax Number | 8606772171 |
| Mailing Telephone | 8606772171 |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |
| Authorized Official Name | DR. BRUCE E KOMAROW (OWNER) |
| Authorized Official Telephone | 8606772171 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 6508 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | IRS | 1932311453 | 01 |
| Street Address |
40 DALE RD |
| City | AVON |
| State | CT |
| Zip Code | 06001-3692 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093789745 | Linda Preysner | Internal Medicine | 40 Dale Rd, Suite 202, Avon, CT 06001-3692 | 2006-02-16 |
| 1811280332 | Sarah Anacleto | Counselor | 40 Dale Rd, Avon, CT 06001-3692 | 2011-05-17 |
| 1093014748 | Comprehensive Medical Group, LLC | Nurse Practitioner | 40 Dale Rd, Suite 103, Avon, CT 06001-3692 | 2011-03-21 |
| 1649573106 | Stephanie Lynn Poole | Speech-Language Pathologist | 40 Dale Rd, Avon, CT 06001-3692 | 2010-12-06 |
| 1376867580 | Nutmeg Medical Group, LLC | Internal Medicine | 40 Dale Rd, Suite 202, Avon, CT 06001-3692 | 2010-03-16 |
| 1609067503 | Jefferson Radiology, PC | Nuclear Medicine | 40 Dale Rd, Avon, CT 06001-3692 | 2007-08-06 |
| 1508070343 | Kristie L Riley | Counselor | 40 Dale Rd, Avon, CT 06001-3692 | 2007-05-10 |
| 1942352794 | Lalarukh Mufti | Family Medicine | 40 Dale Rd, Suite 103, Avon, CT 06001-3692 | 2007-01-18 |
| 1962582718 | Gregory J Bombassei | Internal Medicine | 40 Dale Rd, Suite 202, Avon, CT 06001 | 2006-10-16 |
| 1063506723 | Naomi J Neuwirth | Social Worker | 40 Dale Rd, Suite 201, Avon, CT 06001 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093361842 | Vail Clinic, Inc. | Clinic/Center | 1280 Village Rd, Avon, CO 81620 | 2019-08-16 |
| 1295381390 | Vail Clinic, Inc. | Clinic/Center | 126 Riverfront Lane, Suite 101, Avon, CO 81620 | 2019-08-14 |
| 1851459879 | Kaiser Permanente | Clinic/Center | 1426 Center Road, Avon, OH 44011 | 2006-12-04 |
| 1174585012 | Healtheast Outer Banks Medical Center LLC | Clinic/Center | 40894 Hwy 12, Avon, NC 27915 | 2006-04-05 |
| 1295381192 | Vail Clinic, Inc. | Clinic/Center | 230 Chapel Place, Avon, CO 81620 | 2019-08-15 |
| 1093239683 | Hartford Healthcare Urgent Care Centers, LLC | Clinic/Center | 385 W Main St, Avon, CT 06001-4357 | 2017-07-26 |
| 1649791971 | Henry Wellness Services, LLC | Clinic/Center | 192 N Avon Ave Ste 300, Avon, IN 46123-9515 | 2017-06-27 |
| 1457896862 | Dobrita Family Care LLC | Clinic/Center | 46 W Avon Rd, Suite 301, Avon, CT 06001-3679 | 2016-12-21 |
| 1598208332 | Samantha Lynn Tarcy | Clinic/Center | 33100 Cleveland Clinic Blvd, Cardiology Dept - Coumadin Clinic, Avon, OH 44011-1390 | 2016-11-28 |
| 1699142133 | Centers for Hope & Wellness, Inc. | Clinic/Center | 7517 Beechwood Centre Rd, Suite 300, Avon, IN 46123-7852 | 2015-09-01 |
| Find all providers in AVON | ||||
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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.