NEW HAVEN DENTAL GROUP


Address: 615 Professional Park Dr, New Haven, IN 46774-1850
Phone: 2604932113

NEW HAVEN DENTAL GROUP (NPI# 1861841652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861841652
Entity Type Organization
Organization Name NEW HAVEN DENTAL GROUP
Practice Address 615 Professional Park Dr
New Haven
IN 46774-1850
Practice Telephone 2604932113
Mailing Telephone 2604932113
Enumeration Date 2016-06-13
Last Update Date 2016-06-13
Authorized Official Name AMANDA RUTHERFORD (OFFICE MANAGER)
Authorized Official Telephone 2604328596
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
Dental Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1174663579 New Haven Dental Group Dentist 3 Research Dr, Woodbridge, CT 06525-2348 2007-02-07
1205976123 New Haven Dental Group Dentist 195 Montowese St, Branford, CT 06405-3824 2007-02-08
1629118559 New Haven Dental Group Dentist 295 Washington Ave, Hamden, CT 06518-3025 2007-02-08
1609916089 New Haven Dental Group Dentist 123 York St, Suite 4l, New Haven, CT 06511-5614 2007-02-07

Office Location

Street Address 615 PROFESSIONAL PARK DR
City NEW HAVEN
State IN
Zip Code 46774-1850

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407138837 Robert P Ellison Dentist 615 Professional Park Dr, New Haven, IN 46774-1850 2011-09-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235659236 Tyann Nicole Sanchez Doula 16018 Platter Road, New Haven, IN 46774 2017-06-21
1073673430 Benjamin Craig Swinehart Physical Therapist 10876 Isabelle Dr., New Haven, IN 46774 2006-12-08
1912930223 Adams County Memorial Hospital Skilled Nursing Facility 1201 Daly Dr, New Haven, IN 46774 2006-07-09
1922520410 Claressa Sue Brekke Physical Therapist 1316 Minnich Rd, New Haven, IN 46774 2017-07-17
1750558706 Kristen Zurbuch Ms Ccc-slp Speech-Language Pathologist 3117 Pawnee Ct, New Haven, IN 46774 2008-05-09
1548442197 Brackmann & Hockemeyer Optometry Inc Optometrist 1010 Boulder Ridge Trl, New Haven, IN 46774-0010 2007-12-05
1023349255 Elzabeth K Hartup Specialist 8805 Edwardsberg Pl, New Haven, IN 46774-1079 2010-01-28
1417365958 Jeremy Oyer Physical Therapy Assistant 8805 Edwardsberg Pl, New Haven, IN 46774-1079 2014-07-29
1467728204 Jeremy Duane Stewart Physical Therapy Assistant 156 Sturm St, New Haven, IN 46774-1141 2012-03-27
1215313911 Theresa Schortgen Health Educator 146 N Rufus St, New Haven, IN 46774-1162 2015-08-04
Find all providers in zip 46774

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1962952606 Lodestar Dental LLC Dentist 474 Foxon Blvd, New Haven, CT 06513-2329 2016-10-05
1487019121 L&m Family Dentistry LLC Dentist 136 Sherman Ave Ste 104, New Haven, CT 06511-5210 2015-12-23
1457767931 Chapel Street Dental P.C. Dentist 806 Chapel St, New Haven, CT 06510-3104 2014-07-07
1982034658 Fair Haven Dental LLC Dentist 214 Grand Ave, New Haven, CT 06513-3721 2013-11-17
1104187673 Dr.dental of New Haven, PC Dentist 122 Amity Road, New Haven, CT 06515 2012-05-31
1427320407 Karine Calixte Dentist 1 Long Wharf Dr Fl 4, New Haven, CT 06511 2012-02-06
1235425133 Christopher Matthew Kinslow Dentist 262 Grand Ave, New Haven, CT 06513-3723 2011-06-20
1174853956 Smartdental LLC Dentist 1045 Whalley Ave, New Haven, CT 06515-1787 2009-12-30
1356586234 Regina A Niekrash Dentist 65 Anderson St, New Haven, CT 06511-2537 2008-12-08
1548472970 Monica Alvyra Slack-haynes Dentist 7 Kimberly Ave, New Haven, CT 06519-2411 2007-05-06
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Competitor

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City NEW HAVEN
Zip Code 46774

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Dataset Information

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.

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